Devanand D P, Sackeim H A, Decina P, Prudic J
Department of Psychiatry, New York State Psychiatric Institute, College of Physicians and Surgeons of Columbia University, New York.
J Clin Psychiatry. 1988 Feb;49(2):69-71.
Mania that develops in depressed patients who are undergoing ECT is relatively uncommon and may occur more frequently in bipolar patients. The authors' review of three cases illustrates the importance of the clinician distinguishing mania from organic euphoric states that can also develop during ECT. Severity of cognitive impairment and the presence of silly or inappropriate laughter are useful in making this distinction. Capacity to clinically evaluate the persistence of depressive symptoms should determine whether ECT can continue when an organic euphoric state develops.
正在接受电休克治疗（ECT）的抑郁症患者中出现的躁狂相对少见，可能在双相情感障碍患者中更频繁发生。作者对三例病例的回顾说明了临床医生区分躁狂与在ECT期间也可能出现的器质性欣快状态的重要性。认知障碍的严重程度以及傻笑或不适当笑声的存在有助于做出这种区分。当出现器质性欣快状态时，临床评估抑郁症状持续存在的能力应决定是否可以继续进行ECT。
