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題 名 | Risperidone 引發抗精神病藥物惡性症候羣:一例報告=Risperidone-induced Neuroleptic Malignant Syndrome: A Case Report |
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作 者 | 殷建智; 張鳳麟; 李添誠; | 書刊名 | 臺灣精神醫學 |
卷 期 | 13:3 1999.09[民88.09] |
頁 次 | 頁65-69 |
分類號 | 418.21 |
關鍵詞 | 抗精神病藥物惡性症候羣; Risperidone; Neuroleptic malignant syndrome; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:報告一位因使用risperidone引發NMS的個案,並回顧整理文獻。病例報告: 個案59歲,男性,經診斷為躁鬱症,已有20年疾病史。曾使用risperidone二個月,症狀緩 解後,因個案抱怨易疲倦而停藥五天。二度使用risperidone一天後,即發生嚴重NMS,出 現肌肉僵硬,發燒,冒汗,意識模糊及心摶快速,CPK增高至25,960IU/L。經停藥並予以 支持性治療後,個案於二週內逐漸恢復正常。回顧過去文獻報告計13例,綜合分析後發現, risperidone引發NMS的個案中,診斷以含情感性的精神疾病最多,多數個案過去使用抗精 神病藥物容易發生EPS,至於性別、年齡及使用risperidone的時間長短,則沒有差異。結論: 臨床醫師在使用risperidone,尤其是含情感性精神疾病個案,需注意NMS的發生,即使是 二度使用也可能發生。 |
英文摘要 | Objective: A case of risperidone-induced neuroleptic malignant syndrome (NMS) is described. Case report: A 59-year-old male with a 20 years history of bipolar disorder was treated with risperidone for a period of 2 months. He discontinued the treatment without notifying the medical staff due to malaise and weakness. His manic episodes relapsed and he was given risperidone again. However NMS developed within 24hr of re-starting risperidone, with manifestations of muscle rigidity, fever, perspiration, tachycardia, and conscious disturbance. CPK was as high as 25,960 IU/L. After discontinuing all psychiatric medications immediately and providing supportive treatment, he recovered fully within two weeks. Risperidone treatment is known to carry a risk of NMS in bipolar disorder patients. Conclusion: The present case may serve to remind psychiatrists of the higher risk of occurrence of NMS when using risperidone in bipolar patients, even when treated for the second time. (Full Text in Chinese) |
本系統中英文摘要資訊取自各篇刊載內容。