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罕见的丙戊酸钠诱导的高氨血症性脑病病例。

Unusual case of sodium valproate-induced hyperammonaemia encephalopathy.

机构信息

Psychiatry, Gold Coast University Hospital, Southport, Queensland, Australia.

Psychiatry, Gold Coast University Hospital, Southport, Queensland, Australia

出版信息

BMJ Case Rep. 2023 Nov 30;16(11):e256796. doi: 10.1136/bcr-2023-256796.

Abstract

There is limited information about sodium valproate-induced hyperammonaemia encephalopathy (VPAIHE). The aim of this case report is to provide medical practitioners with a greater awareness of the possible development of hyperammonaemia due to sodium valproate use and its associated complications.This paper describes a middle-aged man with a history of bipolar affective disorder who was admitted with a manic relapse secondary to medication non-compliance. His admission was complicated by an intensive care unit admission to manage medical compromise in the context of sodium VPAIHE.

摘要

关于丙戊酸钠引起的高氨血症性脑病(VPAIHE)的信息有限。本病例报告的目的是提高医务人员对丙戊酸钠使用引起的高氨血症及其相关并发症可能发展的认识。本文描述了一名中年男子,有双相情感障碍病史,因药物不依从而导致躁狂复发入院。他入院后因钠 VPAIHE 并发的医疗并发症而住进重症监护病房。

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Lesson of the month 1: Sodium valproate-induced encephalopathy.本月课程 1:丙戊酸钠诱导性脑病。
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本文引用的文献

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Valproic Acid Induced Hyperammonemia in a Long Time Treated Patient.丙戊酸在长期治疗患者中诱发高氨血症
Case Rep Psychiatry. 2016;2016:6242314. doi: 10.1155/2016/6242314. Epub 2016 Jul 19.
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Hyperammonemia due to valproic acid in the psychiatric setting.精神科环境中丙戊酸所致高氨血症
Am J Psychiatry. 2007 Jul;164(7):1020-7. doi: 10.1176/ajp.2007.164.7.1020.

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