Conti L, Molene V, Sironi P G
Servizio di Anestesia e Rianimazione, Ospedale Fatebenefratelli e Oftalmico, Milano.
Minerva Anestesiol. 1990 Dec;56(12):1461-7.
A psychotic received neuroleptics and lithium salts for a few days, developing a classic clinical presentation of a neuroleptic malignant syndrome. Treatment in our ICU was started with dantrolene sodium and bromocriptine p.o., associated with artificial cooling of the body and cardiac, respiratory and metabolic measures. In this way we were able to normalize the clinical conditions of the patients. The clinical description of this case allows a general review of the literature on this "rare" syndrome, starting from the anaesthesiologist point of view.
一名精神病患者接受了几天的抗精神病药物和锂盐治疗,出现了典型的抗精神病药物恶性综合征临床表现。我们重症监护病房的治疗从使用丹曲林钠和口服溴隐亭开始,并辅以身体人工降温以及心脏、呼吸和代谢方面的措施。通过这种方式,我们使患者的临床状况恢复正常。从麻醉医生的角度出发,对该病例的临床描述有助于对关于这种“罕见”综合征的文献进行全面回顾。