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精神药物、夏季炎热潮湿与高热:危险再度警示

Psychotropic drugs, summer heat and humidity, and hyperpyrexia: a danger restated.

作者信息

Mann S C, Boger W P

出版信息

Am J Psychiatry. 1978 Sep;135(9):1097-1100. doi: 10.1176/ajp.135.9.1097.

DOI:10.1176/ajp.135.9.1097
PMID:29501
Abstract

The authors note an apparent unawareness of, as well as a paucity of recent literature pertaining to, hyperpyrexia as a complication of psychotropic drug treatment. They report a case of hyperpyrexia in a patient receiving psychotropic agents during a summer heat wave; massive muscle destruction (rhabdomyolysis) with myoglobinuria and acute renal failure make this case of particular interest. Causative mechanisms, preventive measures, and the benefits of prompt recognition and treatment of this condition are discussed.

摘要

作者注意到,人们显然对作为精神药物治疗并发症的高热缺乏认识,而且近期相关文献也很匮乏。他们报告了一例在夏季热浪期间接受精神药物治疗的患者出现高热的病例;伴有肌红蛋白尿和急性肾衰竭的大规模肌肉破坏(横纹肌溶解症)使该病例格外引人关注。文中讨论了病因机制、预防措施以及及时识别和治疗这种病症的益处。

相似文献

1
Psychotropic drugs, summer heat and humidity, and hyperpyrexia: a danger restated.精神药物、夏季炎热潮湿与高热:危险再度警示
Am J Psychiatry. 1978 Sep;135(9):1097-1100. doi: 10.1176/ajp.135.9.1097.
2
[Enzyme changes, myoglobinuria and muscular necrosis following malignant hyperpyrexia].
Z Prakt Anasth Wiederbeleb Intensivther. 1972 Jun;7(3):161-7.
3
Rhabdomyolysis and acute renal failure in unsuspected malignant hyperpyrexia.隐匿性恶性高热中的横纹肌溶解症与急性肾衰竭
Q J Med. 1993 Jul;86(7):431-4.
4
Myoglobinuria.肌红蛋白尿
Neurol Clin. 2000 Feb;18(1):215-43. doi: 10.1016/s0733-8619(05)70187-0.
5
[Rhabdomyolysis with acute renal failure and malignant neuroleptic syndrome].伴有急性肾衰竭及恶性抗精神病药物综合征的横纹肌溶解症
Ann Med Interne (Paris). 1982;133(8):549-52.
6
Rhabdomyolysis associated with urethral stricture repair: report of a case.与尿道狭窄修复相关的横纹肌溶解症:一例报告。
J Urol. 1980 Nov;124(5):730-1. doi: 10.1016/s0022-5347(17)55631-1.
7
Early recognition of unsuspected malignant hyperthermia and successful management of serve myoglobinuric renal failure in subsequent rhabdomyolysis: a case report.早期识别未被怀疑的恶性高热并成功处理随后横纹肌溶解症中的严重肌红蛋白尿性肾衰竭:一例报告
Changgeng Yi Xue Za Zhi. 1998 Jun;21(2):211-6.
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[Drug therapy of mental disorders and the eye (review)].[精神障碍的药物治疗与眼睛(综述)]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1982;82(3):119-26.
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Recurrent heat-related illnesses during antipsychotic treatment.抗精神病药物治疗期间反复出现的与热相关的疾病。
Ann Pharmacother. 2005 Nov;39(11):1940-2. doi: 10.1345/aph.1G130. Epub 2005 Sep 20.
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Cocaine intoxication: hyperpyrexia, rhabdomyolysis and acute renal failure.可卡因中毒:高热、横纹肌溶解及急性肾衰竭。
J Toxicol Clin Toxicol. 1987;25(1-2):135-48. doi: 10.3109/15563658708992619.

引用本文的文献

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The Impact of Foehn Wind on Mental Distress among Patients in a Swiss Psychiatric Hospital.焚风对瑞士一家精神病院患者精神困扰的影响。
Int J Environ Res Public Health. 2022 Aug 30;19(17):10831. doi: 10.3390/ijerph191710831.
2
Drug-induced Hyperthermic Syndromes in Psychiatry.精神科药物所致的高热综合征
Clin Psychopharmacol Neurosci. 2021 Feb 28;19(1):1-11. doi: 10.9758/cpn.2021.19.1.1.
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Excited Delirium and Sudden Death: A Syndromal Disorder at the Extreme End of the Neuropsychiatric Continuum.激越性谵妄与猝死:神经精神连续谱极端端的一种综合征性疾病。
Front Physiol. 2016 Oct 13;7:435. doi: 10.3389/fphys.2016.00435. eCollection 2016.
4
Movement disorders induced by antipsychotic drugs: implications of the CATIE schizophrenia trial.抗精神病药物引起的运动障碍:CATIE 精神分裂症试验的启示。
Neurol Clin. 2011 Feb;29(1):127-48, viii. doi: 10.1016/j.ncl.2010.10.002.
5
Cerebellar syndrome following neuroleptic induced heat stroke.抗精神病药物所致中暑后的小脑综合征
J Neurol Neurosurg Psychiatry. 1983 Feb;46(2):183-5. doi: 10.1136/jnnp.46.2.183.
6
Drug-facilitated heat stroke.药物性中暑
Can Med Assoc J. 1983 Oct 1;129(7):680-2.
7
Spinal cord lesions in heat stroke.中暑中的脊髓损伤。
J Neurol Neurosurg Psychiatry. 1985 Oct;48(10):1065-7. doi: 10.1136/jnnp.48.10.1065.
8
Neuroleptic malignant syndrome.抗精神病药恶性综合征
CMAJ. 1988 Jan 1;138(1):51-3.