阿托品滴眼液诱发的急性谵妄：一例报告
Atropine eye-drop-induced acute delirium: a case report.
作者信息
Maravi Prashant, Mishra Dheerendra Kumar, Singh Amrendra, Niranjan Vijay
机构信息
Department of Psychiatry, Shyam Shah Medical College, Rewa, India.
Department of Psychiatry, M.G.M. Medical College, Indore, India.
出版信息
Gen Psychiatr. 2020 May 5;33(3):e100125. doi: 10.1136/gpsych-2019-100125. eCollection 2020.
Atropine is an anticholinergic drug which is used in both parental and topical routes. Topical eye-drops of atropine sulfate are used as mydriatic and cycloplegics. Parental atropine-induced delirium is well known but topical atropine eye-drop-induced delirium cases are very limited in literature. In this case report, an elderly man underwent cataract surgery and developed delirium after the use of 1% atropine sulfate eye-drops as prescribed. This case supports the notion that even atropine eye-drops can cause delirium in patients at therapeutic doses in elderly.
阿托品是一种抗胆碱能药物，可通过肠胃外和局部用药途径使用。硫酸阿托品滴眼液用作散瞳药和睫状肌麻痹剂。肠胃外使用阿托品引起谵妄是众所周知的，但局部使用阿托品滴眼液引起谵妄的病例在文献中非常有限。在本病例报告中，一名老年男性接受了白内障手术，并在按处方使用1%硫酸阿托品滴眼液后出现谵妄。该病例支持了这样一种观点，即即使是阿托品滴眼液，在治疗剂量下也可能导致老年患者出现谵妄。
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