Foster S, Ries R
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle 98195.
J Nerv Ment Dis. 1988 Jun;176(6):374-6. doi: 10.1097/00005053-198806000-00009.
A 74-year-old woman with essential hypertension underwent a course of electroconvulsive therapy (ECT) for the treatment of psychotic depression. Her treatments were associated with delayed and significant hypertension. Clonidine, which controlled her baseline blood pressure, was inadequate in treating her post-ECT hypertension. Acute treatment with hydralazine also failed. Labetalol, a short-acting beta-blocking agent with some alpha-1 blocking activity, worked well both acutely (intravenously) and orally to manage essential and ECT-induced hypertension.
一名患有原发性高血压的74岁女性接受了电休克疗法（ECT）疗程以治疗精神病性抑郁症。她的治疗引发了延迟且严重的高血压。可乐定虽能控制她的基础血压，但治疗ECT后高血压效果不佳。肼屈嗪的急性治疗也失败了。拉贝洛尔是一种具有一定α-1阻断活性的短效β受体阻滞剂，静脉注射和口服对原发性高血压和ECT诱发的高血压均有良好疗效。
