Fernandez F, Holmes V F, Adams F, Kavanaugh J J
Department of Psychiatry, St. Luke's Episcopal Hospital, Baylor College of Medicine, Houston, TX 77030.
J Clin Psychiatry. 1988 Jun;49(6):239-41.
A case of agitated delirium secondary to bilateral occipital cerebral infarctions in a cancer patient was refractory to trials of large doses of intravenous psychotropic agents, but continuous intravenous infusion of haloperidol controlled agitation rapidly and safely. A total haloperidol dose of 600 mg/day was used without complications. Haloperidol by continuous infusion should be considered in the management of severe, refractory agitation in patients who are medically ill.
一名癌症患者因双侧枕叶脑梗死继发激越性谵妄,大剂量静脉注射精神药物治疗无效,但持续静脉输注氟哌啶醇迅速且安全地控制了激越症状。氟哌啶醇总剂量为每日600毫克,未出现并发症。对于患有内科疾病的患者,若出现严重的难治性激越,应考虑采用持续输注氟哌啶醇进行治疗。