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題名 | Sulpiride引起持續性低血壓:一例報告=Sulpiride Induced Persistent Hypotension in a Patient with Schizophrenia |
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作者 | 吳景寬; 林博彥; 文榮光; We, Ching-kuan; Lin, Pao-yen; Wen, Jung-kwang; |
期刊 | 臺灣精神醫學 |
出版日期 | 19970900 |
卷期 | 11:3 1997.09[民86.09] |
頁次 | 頁88-93 |
分類號 | 418.21 |
語文 | chi |
關鍵詞 | 姿勢性低血壓; 抗精神病藥物; Orthostatic hypotension; Antipsychotics; |
中文摘要 | 目的︰本報告在提醒精神科醫師使用非phenothiazines類抗精神病藥物時仍需注意嚴重低血壓發生之可能性,以避免不必要意外的發生。病例報告︰一位年輕男性精神分裂症患者,過去未曾接受過精神科藥物治療。經給予每天800毫克sulpiride一天後,引起持續性嚴重低血壓,在使用升壓劑59小時後,病人的血壓才能恢復正常。結論︰在臨床上姿勢性低血壓及持續性低血壓多見於phenothiazine類抗精神病藥物之使用,其它類精神病藥物則很少被報告。該案例經使用sulpiride後引起持續性低血壓是一罕見的報告。 |
英文摘要 | Objective: The purpose of this report is to remind the psychiatrists of the risk of persistent hypotension while using antipsychotics other than phenothiazines. Case Report: A 20 years old male patient in whom schizophrenia was diagnosed and who had not received prior treatment in any psychiatric department presented with severe persistent hypotension after being treated with sulpiride for one day. After intravenous administration of norepinephenine for 59 hours, his blood pressure had stabilized. Conclusion: Clinically orthostatic hypotension has been a reported side-effect in drugs from all classes of antipsychotics. Although both, severe orthostatic hypertension and persistent hypotension are not uncommon during therapy with phenothiazines, there are few reports of these side-effects following treatment with other classes of antipsychotics. Supiride-in-duced persistent hypotension has rarely been reported. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。