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孕早期电休克治疗中的麻醉管理

Anaesthetic Management in Electroconvulsive Therapy During Early Pregnancy.

作者信息

Özgül Ülkü, Erdoğan Mehmet Ali, Şanlı Mukadder, Erdil Feray, Begeç Zekine, Durmuş Mahmut

机构信息

Department of Anaesthesiology and Reanimation, İnönü University Faculty of Medicine, Malatya, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2014 Jun;42(3):145-7. doi: 10.5152/TJAR.2014.73645. Epub 2014 Jan 6.

DOI:10.5152/TJAR.2014.73645
PMID:27366409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4894223/
Abstract

The management of major psychiatric conditions during pregnancy is exceptionally difficult. Pharmacoresistant, life-threatening and severe symptoms such as catatonia and suicidal behavior affect the health and safety of both mother and child. In such cases, electroconvulsive therapy (ECT) may be considered as an alternative to pharmacologic treatment. In this report, we aimed to present anaesthetic management of a patient, who was 13 weeks pregnant and needed ECT due to major depression.

摘要

孕期严重精神疾病的管理极具挑战性。药物难治性、危及生命的严重症状,如紧张症和自杀行为,会影响母婴的健康与安全。在这种情况下,电休克治疗(ECT)可被视为药物治疗的替代方案。在本报告中,我们旨在介绍一名怀孕13周、因重度抑郁症需要接受ECT治疗的患者的麻醉管理情况。

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Anaesthetic Management in Electroconvulsive Therapy During Early Pregnancy.孕早期电休克治疗中的麻醉管理
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Safety of electroconvulsive therapy (ECT) in pregnancy: a systematic review of case reports and case series.妊娠期电抽搐治疗(ECT)的安全性:病例报告和病例系列的系统评价。
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本文引用的文献

1
Anesthesia for electroconvulsive therapy in early pregnancy.早孕患者行电抽搐治疗的麻醉。
J ECT. 2011 Dec;27(4):328-30. doi: 10.1097/YCT.0b013e318213cd00.
2
ECT in pregnancy: a review of the literature from 1941 to 2007.妊娠期的电休克治疗:1941年至2007年文献综述
Psychosom Med. 2009 Feb;71(2):235-42. doi: 10.1097/PSY.0b013e318190d7ca. Epub 2008 Dec 10.
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[Anaesthesia in electroconvulsive therapy].[电休克治疗中的麻醉]
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Anesthesia for electroconvulsive therapy.电休克治疗的麻醉
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Effects of combined methohexitone-remifentanil anaesthesia in electroconvulsive therapy.甲己炔巴比妥-瑞芬太尼联合麻醉在电休克治疗中的效果
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Anesthesia for electroconvulsive therapy: a review.电休克治疗的麻醉:综述
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Pharmacologic treatment of depression during pregnancy.孕期抑郁症的药物治疗。
JAMA. 1999 Oct 6;282(13):1264-9. doi: 10.1001/jama.282.13.1264.
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Prospective study of postpartum depression: prevalence, course, and predictive factors.产后抑郁症的前瞻性研究:患病率、病程及预测因素。
J Abnorm Psychol. 1984 May;93(2):158-71. doi: 10.1037//0021-843x.93.2.158.
10
What is an adequate treatment in convulsive therapy?惊厥治疗中的充分治疗是什么?
Acta Psychiatr Scand. 1991 Nov;84(5):424-7. doi: 10.1111/j.1600-0447.1991.tb03172.x.