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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.

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。

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