Ghosh Soumitra, Mondal Supriya Kumar, Bhattacharya Arnab, Saddichha Sahoo
Department of Psychiatry, Silchar Medical College, Assam, India.
Case Rep Emerg Med. 2013;2013:492685. doi: 10.1155/2013/492685. Epub 2013 Jun 6.
Tramadol is a widely used medication by physicians and is held to be a safe analgesic. It has been claimed to be helpful in the elderly and hepatic and renally compromised subjects. We would like to report a case of delirium in a middle-aged female with acute pain abdomen on tramadol while being treated in the surgical unit. The patient developed alteration in the level of consciousness and cognitive deficits following injectable dose of tramadol. She was diagnosed as a case of tramadol-induced delirium. The patient improved spontaneously after stoppage of tramadol injection. The probable mechanism for development of tramadol-induced delirium is discussed along with clinical implications.
曲马多是医生广泛使用的药物，被认为是一种安全的镇痛药。据称它对老年人以及肝脏和肾脏功能受损的患者有帮助。我们想报告一例在外科病房接受治疗的中年女性，因急性腹痛使用曲马多后出现谵妄的病例。患者在注射曲马多后出现意识水平改变和认知缺陷。她被诊断为曲马多诱发的谵妄。停用曲马多注射后，患者自行好转。本文讨论了曲马多诱发谵妄的可能机制及其临床意义。
