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氯胺酮用于综合医院自杀观念:病例报告及简短综述

Ketamine Use for Suicidal Ideation in the General Hospital: Case Report and Short Review.

作者信息

Vulser Hélène, Vulser Claire, Rieutord Marion, Passeron Amélie, Lefebvre Didier, Baup Emilie, Seigneurie Anne-Sophie, Thauvin Isabelle, Limosin Frédéric, Lemogne Cédric

机构信息

H. VULSER, LIMOSIN, and LEMOGNE: Service de Psychiatrie de l'adulte et du sujet âgé, AP-HP, Hôpitaux Universitaires Paris Ouest; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine; and Inserm, U894, Centre Psychiatrie et Neurosciences, Paris, France C. VULSER, LEFEBVRE: Service d'Anesthésie Réanimation, AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France RIEUTORD, BAUP, SEIGNEURIE, and THAUVIN: Service de Psychiatrie de l'adulte et du sujet âgé, AP-HP, Hôpitaux Universitaires Paris Ouest PASSERON: Service de Médecine Interne, AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France.

出版信息

J Psychiatr Pract. 2018 Jan;24(1):56-59. doi: 10.1097/PRA.0000000000000282.

DOI:10.1097/PRA.0000000000000282
PMID:29320385
Abstract

Low-dose infusion of ketamine may have rapid antisuicide properties. Such a treatment may therefore be useful in the general hospital to prevent suicide in an environment that cannot be made safe enough. We report on the use of ketamine as an efficient, well-tolerated treatment for persistent suicidal ideation in a patient hospitalized in a general hospital after a severe suicide attempt. Based on data in the literature, we suggest that the benefit-risk ratio for ketamine use in such a context is highly favorable.

摘要

小剂量输注氯胺酮可能具有快速的抗自杀特性。因此,这种治疗方法在综合医院中可能有助于在无法确保足够安全的环境中预防自杀。我们报告了在一名因严重自杀未遂而入住综合医院的患者中,使用氯胺酮作为治疗持续性自杀意念的有效且耐受性良好的方法。根据文献数据,我们认为在这种情况下使用氯胺酮的效益风险比非常有利。

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Ketamine Use for Suicidal Ideation in the General Hospital: Case Report and Short Review.氯胺酮用于综合医院自杀观念:病例报告及简短综述
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引用本文的文献

1
The effects of ketamine on suicidality across various formulations and study settings.氯胺酮在不同剂型和研究环境下对自杀倾向的影响。
Ment Health Clin. 2019 Jan 4;9(1):48-60. doi: 10.9740/mhc.2019.01.048. eCollection 2019 Jan.
2
Ketamine augmentation for major depressive disorder and suicidal ideation: Preliminary experience in an inpatient psychiatry setting.氯胺酮增效治疗重性抑郁障碍和自杀意念:住院精神病学环境中的初步经验。
J Affect Disord. 2018 Dec 1;241:103-109. doi: 10.1016/j.jad.2018.07.073. Epub 2018 Jul 29.