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麻醉后护理单元中的一名无反应患者:一个常见问题的不寻常诊断病例报告。

An Unresponsive Patient in Postanesthesia Care Unit: A Case Report of an Unusual Diagnosis for a Common Problem.

作者信息

Rafizadeh Sassan, Kerry-Gnazzo Ariel R, DeWalt Kevin

机构信息

From the Department of Anesthesiology, Harbor-University of California, Los Angeles Medical Center, Los Angeles, California.

Midwestern University Arizona College of Osteopathic Medicine, Glendale, Arizona.

出版信息

A A Pract. 2020 Aug;14(10):e01293. doi: 10.1213/XAA.0000000000001293.

Abstract

An unresponsive patient in the postoperative period is a serious complication that can be caused by anesthetics. However, nonanesthetic causes should also be considered. In this case report, we present an unresponsive postoperative patient diagnosed with possible psychosomatic catatonia. We further describe a systematic approach to the unresponsive patient in the postanesthesia care unit (PACU). While not an uncommon occurrence, catatonia is a complex psychomotor syndrome that can be difficult to diagnose; however, catatonia should be considered in unresponsive postoperative patients.

摘要

术后无反应的患者是一种严重的并发症,可能由麻醉剂引起。然而,也应考虑非麻醉原因。在本病例报告中,我们介绍了一名术后无反应的患者,诊断为可能的心身性紧张症。我们进一步描述了在麻醉后护理单元(PACU)对无反应患者的系统处理方法。紧张症虽然并非罕见,但却是一种复杂的精神运动综合征,可能难以诊断;然而,对于术后无反应的患者应考虑紧张症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffc3/7455090/77fe1fdde149/acc-14-e01293-g001.jpg

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