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[麻醉和镇静状态下的性幻觉与梦:法医学方面]

[Sexual hallucinations and dreams under anesthesia and sedation : medicolegal aspects].

作者信息

Schneemilch C, Schiltz K, Meinshausen E, Hachenberg T

机构信息

Universitätsklinik für Anästhesiologie und Intensivtherapie, Otto-von-Guericke-Universität Magdeburg, Deutschland.

出版信息

Anaesthesist. 2012 Mar;61(3):234-41. doi: 10.1007/s00101-012-1999-z.

DOI:10.1007/s00101-012-1999-z
PMID:22430554
Abstract

Dreams and hallucinations under sedation or anesthesia have been well known phenomena since the introduction of anesthesia. Sexual hallucinations may lead to allegations of sexual molestation or assault by medical doctors or professional nursing staff. Hallucinations under the influence of sedative or hypnotic drugs may be very vivid and as misinterpreted as being real and it is therefore often difficult to disprove the resulting false allegations. In this report the terms drug-induced dreams and hallucinations are defined and the probable mechanism described. By a historical review and case reports the medicolegal consequences are demonstrated and procedures recommended to avoid allegations of sexual assault.

摘要

自麻醉术问世以来,镇静或麻醉状态下出现的梦境和幻觉就一直是为人熟知的现象。性幻觉可能会导致患者指控医生或专业护理人员实施性骚扰或性侵犯。镇静药或催眠药影响下产生的幻觉可能非常逼真,容易被误解为真实发生的事情,因此往往很难反驳由此产生的虚假指控。在本报告中,对药物诱发的梦境和幻觉进行了定义,并描述了其可能的机制。通过历史回顾和病例报告,展示了其法医学后果,并推荐了避免性侵犯指控的程序。

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[175 years of anesthesia and narcosis-Towards a "human right to unconsciousness"].

本文引用的文献

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Memory, Sleep and Dreaming: Experiencing Consolidation.记忆、睡眠与梦境:体验巩固过程。
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European Society of Gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates, and the European Society of Anaesthesiology Guideline: Non-anaesthesiologist administration of propofol for GI endoscopy.欧洲胃肠道内镜学会、欧洲胃肠病学和内镜护士协会以及欧洲麻醉学会指南:非麻醉医师管理胃肠道内镜检查用丙泊酚。
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Sexual Hallucinations in Schizophrenia Spectrum Disorders and Their Relation With Childhood Trauma.精神分裂症谱系障碍中的性幻觉及其与童年创伤的关系。
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围镜回顾
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Dreaming and electroencephalographic changes during anesthesia maintained with propofol or desflurane.使用丙泊酚或地氟醚维持麻醉期间的梦境与脑电图变化。
Anesthesiology. 2009 Sep;111(3):547-55. doi: 10.1097/ALN.0b013e3181adf768.
7
[Propofol-induced hallucinations and dreams].
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8
Dreaming during anaesthesia in adult patients.成年患者麻醉期间的梦境
Best Pract Res Clin Anaesthesiol. 2007 Sep;21(3):403-14. doi: 10.1016/j.bpa.2007.05.003.
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