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产后紧张症的电抽搐治疗:病例报告。

Postpartum catatonia treated with electroconvulsive therapy: a case report.

机构信息

University of North Carolina Chapel Hill, NC 27599-7160, USA.

出版信息

Gen Hosp Psychiatry. 2012 Jul-Aug;34(4):436.e3-4. doi: 10.1016/j.genhosppsych.2011.11.010. Epub 2012 Jan 9.

DOI:10.1016/j.genhosppsych.2011.11.010
PMID:22227030
Abstract

Catatonia is a rare syndrome that occurs in mood and psychotic disorders, and general medical conditions. Postpartum depression affects 10%-15% of women within 6 months after delivery. Postpartum psychosis affects 0.1%-0.5% of women within weeks after delivery, though it can occur within hours; it carries risk for suicide and infanticide. There is limited evidence available to guide treatment. We review a case of postpartum psychosis that presented with catatonia and was resistant to medications, but responded to electroconvulsive therapy.

摘要

紧张症是一种罕见的综合征,发生于心境障碍和精神病性障碍以及一般的躯体疾病中。产后抑郁症影响分娩后 6 个月内 10%-15%的女性。产后精神病影响分娩后数周内 0.1%-0.5%的女性,尽管它也可能在数小时内发生;它具有自杀和杀婴的风险。目前仅有有限的证据可用于指导治疗。我们回顾了一例以紧张症为表现且对药物治疗抵抗的产后精神病,该例对电抽搐治疗有反应。

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