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題 名 | Delayed Akathisia and Suicidal Attempts Following Epidural Droperidol Infusion--A Case Report=硬脊膜外腔給予Droperidol引起遲發性靜坐不能與自殺意念--病例報告 |
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作 者 | 洪育均; 何詠愿; 沈志隆; | 書刊名 | 麻醉學雜誌 |
卷 期 | 37:3 1999.09[民88.09] |
頁 次 | 頁151-154 |
分類號 | 416.5 |
關鍵詞 | 病患自控式硬脊膜外止痛; 藥物誘發的靜坐不能; Analgesia; Epidural; Patient-controlled; Droperidol; Akathisia; Drug-induced; |
語 文 | 英文(English) |
中文摘要 | 於硬脊膜外腔給予droperidol,的確可以避免手術後噁心嘔吐的症狀,但是相對 的它所引起的不良反應卻容易被忽略。我們報告一個做痔瘡切除術的病例,病人以硬脊膜外 腔病患自控式止痛法,使用bupivacaine-morphine-droperidol混合液為止痛劑,卻自術後 第三天起,開始發生持續三天陣發性的靜坐不能、焦慮不安及自殺意念。因此,我們認為以 硬脊膜外腔給予droperidol來避免手術後的噁心嘔吐,其適應性需要被重新評估。 |
英文摘要 | Epidural administration of droperidol has been used to prevent postoperative nausea and vomiting (PONV) caused by opioids, but the adverse reactions were relatively neglected. We present a patient who received patient-controlled epidural analgesia (PCEA) with bupivacaine-morphine-droperidol mixture for one and half days following hemorrhoidectomy, developed paroxysmal adverse reactions of akathisia, dysphoria, and suicidal attempts 3 days after the initiation of the treatment. The use of droperidol in PCEA for prevention of nausea and vomiting therefore needs to be re-evaluated according to the serious side effects occurring in our case. |
本系統中英文摘要資訊取自各篇刊載內容。