Lake C R, Reid A, Martin C, Chernow B
Department of Psychiatry, Uniformed Services University of the Health Sciences, F. Edward Hebert School of Medicine, Bethesda, MD 20814-4799.
Can J Psychiatry. 1987 Nov;32(8):693-4. doi: 10.1177/070674378703200810.
Women are most susceptible to psychotic reactions during the postpartum period, a time of intense psychological and physiological stress. Mania and depression are particularly common at this time, especially in women with past or family histories of major or minor affective disorders, specifically cyclothymia and dysthymia. Close attention after childbirth is warranted to alleviate and prevent these episodes in such women. Sympathomimetic drugs such as bromocriptine and the over-the-counter diet aids, which are linked to the induction of manic episodes, are frequently used in the puerperal period and may act as catalysts. This case report documents a postpartum manic episode in a cyclothymic woman who was prescribed bromocriptine, a dopamine agonist, for prevention of lactation.
女性在产后时期最易出现精神反应，这是一个心理和生理压力巨大的时期。躁狂和抑郁在这个时期尤为常见，特别是在有过严重或轻度情感障碍病史（尤其是环性心境障碍和恶劣心境障碍）的女性或其家族中有此类病史的女性中。产后密切关注对于缓解和预防这类女性出现这些发作是必要的。拟交感神经药物，如溴隐亭和非处方减肥药，与躁狂发作的诱发有关，在产褥期经常使用，可能起到催化剂的作用。本病例报告记录了一名患有环性心境障碍的女性产后出现躁狂发作的情况，该女性因预防泌乳而被处方了多巴胺激动剂溴隐亭。
