Intensive Care Unit, Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, 310058 Hangzhou, Zhejiang, China.
Actas Esp Psiquiatr. 2024 Apr;52(2):183-188. doi: 10.62641/aep.v52i2.1528.
Catatonia encompasses a group of severe psychomotor syndromes affecting patients' motor, speech, and complex behaviors. Common features include rigidity, reduced mobility, speech, sputum production, defecation, and eating. Risks associated with catatonia, such as increased muscle tension and reduced swallowing and coughing reflexes, along with risks from therapeutic approaches like prolonged bed rest and sedative drugs, can elevate the risk of aspiration pneumonia, severe pneumonia, and acute respiratory failure. These complications significantly impede catatonia treatment, leading to poor prognosis and jeopardizing patient safety.
In this report, we present a case of catatonia complicated by severe pneumonia and respiratory failure, successfully managed with modified electroconvulsive therapy alongside tracheotomy. We hope this case provides valuable insights for psychiatrists encountering similar scenarios, facilitating the development of rational therapeutic strategies for prompt improvement of patient condition.
紧张症是一组严重的精神运动综合征，影响患者的运动、言语和复杂行为。常见特征包括僵硬、活动减少、言语、痰生成、排便和进食。紧张症相关的风险，如肌肉张力增加、吞咽和咳嗽反射减弱，以及治疗方法的风险，如长时间卧床休息和镇静药物，可能会增加吸入性肺炎、重症肺炎和急性呼吸衰竭的风险。这些并发症严重阻碍了紧张症的治疗，导致预后不良，并危及患者的安全。
在本报告中，我们介绍了一例紧张症并发重症肺炎和呼吸衰竭的病例，成功地采用改良电抽搐治疗联合气管切开术进行治疗。我们希望这个病例能为遇到类似情况的精神科医生提供有价值的见解，促进制定合理的治疗策略，以迅速改善患者的病情。
