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頁籤選單縮合
題 名 | Sudden Death Following Electroconvulsive Therapy=電痙攣治療後猝死 |
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作 者 | 王仁邦; 林世光; 陳喬琪; 胡維恆; | 書刊名 | 臺灣精神醫學 |
卷 期 | 15:4 2001.12[民90.12] |
頁 次 | 頁343-348 |
分類號 | 415.972 |
關鍵詞 | 電痙攣治療; 猝死; 心臟血管反應; Electroconvulsive therapy; Sudden death; Cardiovascular event; |
語 文 | 英文(English) |
中文摘要 | 目的:報告一位難治型精神分裂症之個案,於施行電痙攣治療後迅速發生猝死,並回顧整理文獻討論電痙攣治療與相關治療藥物的交互作用和影響。病例報告:個案為一33歲男性,診斷為精神分裂症,無重大身體疾病史。自18歲發病後即對多種傳統抗精神病藥物與clozapine的反應不佳,病程中主要以正性與混亂性症狀為主。於此次住院期間施行電痙攣治療合併傳統抗精神病藥物治療,於施行第七次電痙攣治療後,突然發生無脈搏現象,經急救無效而宣告死亡。結論:在施行電痙攣治療合併藥物治療時,臨床醫師尤其需注意心臟血管反應及可能併發之不良影響。 |
英文摘要 | Objective: We present a sudden death occurring immediately after tonic-clonic seizures during an electroconvulsive therapy (ECT) session in a patient with refractory schizophrenia and discuss the potential interaction between ECT and concurrent medications. Case Report: A 33year-old single, schizophrenic male patient with onset at 18 years old and no history of major physical illness was admitted for treatment of psychotic exacerbation. The clinical course revealed prominent positive and disorganized symptoms that were refractory to previous typical and atypical antipsychotic medications, including clozapine. During this hospitalization, the patient received ECT combined with psychotropic medications. Upon the seventh session of ECT, diminished pulses and hypotension occurred after the tonic-clonic convulsions and the patient died despite emergent cardiopulmonary resuscitation. Extensive discussions on the severe cardiovascular events to ECT as well as the potential effects of concomitant medications were made. Conclusion: The possible detrimental cardiovascular responses to ECT should be highlighted in clinical practice, especially when combined with medications that have effects on cardiac conductance, pace regulation, and seizure threshold. Precautions and pertinent cardiac assessments should be taken during such treatment courses. |
本系統中英文摘要資訊取自各篇刊載內容。