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近期蛛网膜下腔出血患者的电休克治疗

Electroconvulsive Therapy in a Patient With a Recent Subarachnoid Hemorrhage.

作者信息

Doddi Seshagiri Rao, Lotz Matthew, Regenold William T, Adler Lawrence

机构信息

From the Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD.

出版信息

J ECT. 2018 Mar;34(1):e2-e4. doi: 10.1097/YCT.0000000000000453.

Abstract

The safety of electroconvulsive therapy (ECT) is improving with advances in anesthesia and ECT technique. There are published case reports of successful treatment of depression in patients who were once considered at high medical risk. Recent cerebral hemorrhage is one of the conditions considered to significantly increase the risk of ECT treatment. Literature search did not indicate any case reports of ECT treatment in patients with recent subarachnoid hemorrhage. We report the successful ECT treatment of depression in an older man who had developed a subarachnoid hemorrhage after a suicide attempt by ingestion of antifreeze.

摘要

随着麻醉和电休克疗法(ECT)技术的进步,ECT的安全性正在提高。有已发表的病例报告显示,曾经被认为具有高医疗风险的患者成功接受了抑郁症治疗。近期脑出血是被认为会显著增加ECT治疗风险的情况之一。文献检索未表明有任何关于近期蛛网膜下腔出血患者接受ECT治疗的病例报告。我们报告了一例老年男性抑郁症患者成功接受ECT治疗的病例,该患者在服用防冻液自杀未遂后发生了蛛网膜下腔出血。

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