Franks R D
Am Fam Physician. 1979 Oct;20(4):105-9.
When first seen, the overtranquilized patient may already be in withdrawal, may have other medical problems or may be seeking psychiatric help. The patient may, however, be primarily interested in obtaining more medication. Abuse and withdrawal of sedatives, tranquilizers, narcotics or alcohol, or a combination of these, present diagnostic pitfalls. Toxicologic studies are helpful in identifying the abused drug. The pentobarbital tolerance test is valuable in determining the daily dosage, stabilization and tapering. Follow-up is essential to patient care.
初次就诊时，过度镇静的患者可能已经处于戒断状态，可能存在其他医疗问题，也可能正在寻求精神科帮助。然而，患者可能主要关心的是获取更多药物。镇静剂、安定药、麻醉药或酒精的滥用及戒断，或这些情况的组合，都会带来诊断上的陷阱。毒理学研究有助于识别滥用的药物。戊巴比妥耐受性试验对于确定每日剂量、稳定剂量及逐渐减量很有价值。随访对患者护理至关重要。
