Solomon J G
South Med J. 1978 Dec;71(12):1516-8. doi: 10.1097/00007611-197812000-00021.
Two cases of recurrent psychotic depression are reported in which ECT (electroconvulsive therapy) was administered with good results for previous episodes of depression, but treatment of the current episode with combined drug therapy (antidepressant and antipsychotic drugs) in one case and antidepressant chemotherapy in the other resulted in failure to improve. The patients were transferred to another facility, and improved when ECT was administered. Pertinent literature on ECT and drug treatment of depression is reviewed, and the conditions for which ECT is probably the treatment of choice are enumerated.
报告了两例复发性精神病性抑郁症病例，其中电休克疗法（ECT）曾用于治疗之前的抑郁发作，效果良好，但在一例中采用联合药物治疗（抗抑郁药和抗精神病药），另一例采用抗抑郁化学疗法治疗当前发作，均未改善。患者被转至另一机构，接受ECT治疗后病情好转。回顾了关于ECT和抑郁症药物治疗的相关文献，并列举了ECT可能为首选治疗方法的情况。
