Wolpert E A, Margul B, Replogle R, Sheinin J C
J Nerv Ment Dis. 1982 Mar;170(3):181-4. doi: 10.1097/00005053-198203000-00007.
What is thought to be the first case of coronary artery bypass in a patient on lithium carbonate prophylaxis is presented. A postcardiotomy delirium developed on day 2 and appeared unrelated to the underlying manic-depressive illness. A 2-year follow-up indicated apparent resolution of pre-existing psychological difficulties and no recurrence of somatic symptoms. It is suggested that lithium carbonate prophylaxis be continued with appropriate monitoring during coronary artery bypass procedures.
本文介绍了一例接受碳酸锂预防性治疗的患者进行冠状动脉搭桥手术的首例病例。术后第二天出现了心脏手术后谵妄，且似乎与潜在的躁郁症无关。两年的随访表明，先前存在的心理问题明显得到解决，躯体症状未复发。建议在冠状动脉搭桥手术期间继续进行碳酸锂预防性治疗，并进行适当监测。
