Devanand D P, Sackeim H A
Department of Biological Psychiatry, New York State Psychiatric Institute, NY 10032.
Gen Hosp Psychiatry. 1992 Sep;14(5):345-9. doi: 10.1016/0163-8343(92)90070-q.
The authors report on three patients who developed severe postictal excitement at several consecutive electroconvulsive therapy (ECT) treatments. In all three cases, an increase in the anesthetic (or equivalent medication) dosage prior to ECT prevented the emergence of postictal excitement at subsequent treatments. This strategy, among others, should be considered in the management of patients who repeatedly manifest this phenomenon during a course of ECT.
作者报告了3例患者，他们在连续几次电休克治疗（ECT）中出现了严重的发作后兴奋症状。在所有3例病例中，ECT前增加麻醉剂（或等效药物）剂量可防止后续治疗中出现发作后兴奋症状。在ECT疗程中反复出现这种现象的患者管理中，应考虑这一策略及其他策略。
