一例有机磷中毒自杀未遂患者在ECT治疗期间出现长时间呼吸暂停的病例报告。
A Case Report of Prolonged Apnea during ECT in a Patient with Suicidal Attempt by Organophosphorus Poison.
作者信息
Moudi Sussan, Alijanpour Ebrahim, Manouchehri Ali-Asghar, Jafarian Hasan
机构信息
Assistant professor of psychiatry, Babol University of Medical Sciences.
Assistant professor of Anesthesiologist, Babol University of Medical Sciences.
出版信息
Iran J Psychiatry Behav Sci. 2012 Spring;6(1):68-71.
Organophosphorus pesticides have been used in some cases for suicidal attempts. Such poison can affect plasma cholinesterase activity. The case was a 47-year-old man hospitalized due to suicide attempt with swallowing agricultural poison. The patient, diagnosed with major depressive disorder (MDD), underwent treatment with electroconvulsive therapy (ECT). At the first ECT session, the patient developed apnea for 45 minutes following receiving 20 mg succinylcholine. The patient was intubated; after restoration of respiration depth and rate, the patient was extubated. Collectively, in cases with history of suicide attempts, taking organophosphorus pesticides should be warn for pre-ECT anesthesia.
在某些情况下，有机磷农药被用于自杀企图。这类毒物会影响血浆胆碱酯酶活性。该病例为一名47岁男性，因吞服农业用毒药自杀未遂而住院。该患者被诊断为重度抑郁症（MDD），接受了电休克治疗（ECT）。在首次ECT治疗时，患者在接受20mg琥珀酰胆碱后出现了45分钟的呼吸暂停。患者接受了插管；在呼吸深度和频率恢复后，患者拔管。总体而言，对于有自杀未遂史的患者，在ECT麻醉前应警惕服用有机磷农药的情况。
Zotero 插件