两例因大量使用催眠药和抗精神病药导致α波昏迷的存活病例。

The two survival cases of alpha-pattern coma caused by large amounts of hypnotica and neuroleptica.

作者信息

Endo M, Hirano M, Nakamura I, Kawai Y

出版信息

Folia Psychiatr Neurol Jpn. 1980;34(4):451-8. doi: 10.1111/j.1440-1819.1980.tb02450.x.

DOI:10.1111/j.1440-1819.1980.tb02450.x

Abstract

The EEGs of two men (42 and 63 years old) in coma who took large amounts of hypnotica and neuroleptica for intended suicides were occupied by an alpha pattern, and the patients were diagnosed as alpha-pattern coma. The prominent pattern in their EEGs changed from an alpha pattern to a theta pattern, and subsequently into an alpha pattern of low amplitude. The patients recovered without any residual neurological symptoms. It has been confirmed by our two cases, as well as by other reported cases, that the outcome of the alpha-pattern coma caused by drug poisoning is favorable. It is concluded that a longitudinal EEG recording should be performed as early as possible when the patient is in a comatose state.

摘要

两名分别为42岁和63岁的男性因蓄意自杀服用大量催眠药和抗精神病药后陷入昏迷，其脑电图显示为α波型，这两名患者被诊断为α波型昏迷。他们脑电图中的显著波型从α波型转变为θ波型，随后又变为低振幅α波型。两名患者康复后未遗留任何神经症状。我们的这两个病例以及其他报告的病例均已证实，药物中毒所致α波型昏迷的预后良好。得出的结论是，当患者处于昏迷状态时，应尽早进行脑电图的连续记录。