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阿立哌唑成功治疗利培酮所致体温过低:一则简短病例报告及文献综述

Successful Treatment of Risperidone-Induced Hypothermia With Aripiprazole: A Brief Case Report and a Literature Review.

作者信息

Obeidat Ahmad, Al-Moussally Feras, Abdallah Waseem

机构信息

Department of Internal Medicine, MedStar Washington Hospital Center, Washington, DC, USA.

Internal Medicine, University of Central Florida College of Medicine, Orlando, USA.

出版信息

Cureus. 2024 Aug 8;16(8):e66464. doi: 10.7759/cureus.66464. eCollection 2024 Aug.

Abstract

Hypothermia, a potentially fatal condition, can result from various internal causes, including certain medications. Antipsychotics, in particular, are associated with hypothermia, typically emerging 7-10 days after dosage adjustments. Here, we report the case of a 68-year-old male with a history of cerebral palsy, bipolar disorder, and paranoid schizophrenia who was admitted due to poor oral intake and was found to have persistent hypothermia despite active external rewarming. After substituting risperidone with aripiprazole, his temperature normalized, and he experienced no further hypothermic episodes.  Antipsychotic-induced hypothermia should be considered in patients on these medications who present with non-specific symptoms. Regular monitoring of temperature and vital signs is crucial for early detection and management.

摘要

体温过低是一种潜在的致命状况,可能由多种内部原因引起,包括某些药物。特别是抗精神病药物与体温过低有关,通常在剂量调整后7至10天出现。在此,我们报告一例68岁男性病例,该患者有脑瘫、双相情感障碍和偏执型精神分裂症病史,因口服摄入不足入院,尽管进行了积极的外部复温,但仍持续体温过低。在用阿立哌唑替代利培酮后,他的体温恢复正常,且未再出现体温过低发作。对于服用这些药物且出现非特异性症状的患者,应考虑抗精神病药物引起的体温过低。定期监测体温和生命体征对于早期发现和处理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e9/11380560/34f7e455b00e/cureus-0016-00000066464-i01.jpg

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