锂盐治疗患者在电抽搐治疗过程中出现谵妄。
Delirium during the course of electroconvulsive therapy in a patient on lithium carbonate treatment.
机构信息
Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore 560029, India.
出版信息
Gen Hosp Psychiatry. 2013 Nov-Dec;35(6):678.e1-2. doi: 10.1016/j.genhosppsych.2013.01.011. Epub 2013 Mar 19.
OBJECTIVE
The safety of concurrent mood stabilizers during the course of electroconvulsive therapy (ECT) is yet to be clearly established. Delirium with concurrent administration of ECT and lithium carbonate is described in this case report.
METHODS
A 30-year-old male with a past history of significant head injury developed delirium during the course of bitemporal ECT.
RESULTS
The clinical picture and the details of the cognitive impairment have been discussed in the report with a focus on relationship between the lithium carbonate administration and the concurrent ECT.
CONCLUSION
Patients with preexisting organic brain damage could be prone to develop the cognitive adverse effect while on a combination of lithium and ECT. Possible interactions between lithium and ECT need further systematic evaluation.
目的
电抽搐治疗（ECT）过程中同时使用情绪稳定剂的安全性尚未明确。本文报告了在使用 ECT 和碳酸锂的同时发生谵妄的病例。
方法
一名 30 岁男性，既往有严重头部外伤史，在进行双侧 ECT 期间出现谵妄。
结果
本文讨论了该病例的临床表现和认知障碍的详细情况，重点是碳酸锂的使用与同期 ECT 之间的关系。
结论
有既往器质性脑损伤的患者在使用锂和 ECT 联合治疗时可能更容易出现认知不良反应。锂和 ECT 之间可能存在的相互作用需要进一步系统评估。
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