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哌甲酯用于“难以戒断”的患者。

Methylphenidate in the 'hard to wean' patient.

作者信息

Johnson C J, Auger W R, Fedullo P F, Dimsdale J E

机构信息

Department of Psychiatry, University of California, San Diego, La Jolla 92093-0804, USA.

出版信息

J Psychosom Res. 1995 Jan;39(1):63-8. doi: 10.1016/0022-3999(94)00075-g.

DOI:10.1016/0022-3999(94)00075-g
PMID:7760304
Abstract

Patients on mechanical ventilation are occasionally hard to wean because of fatigue and/or depression. It is difficult to diagnose depression in this population, and treatment with traditional antidepressants has too slow an onset to be useful. Two cases are presented which suggest the possible utility of psychostimulants in this setting.

摘要

接受机械通气的患者有时因疲劳和/或抑郁而难以撤机。在这一人群中很难诊断出抑郁症,而使用传统抗抑郁药治疗起效太慢,没有效果。本文介绍了两个病例,提示在这种情况下使用精神振奋剂可能有用。

相似文献

1
Methylphenidate in the 'hard to wean' patient.哌甲酯用于“难以戒断”的患者。
J Psychosom Res. 1995 Jan;39(1):63-8. doi: 10.1016/0022-3999(94)00075-g.
2
Treatment of depression with methylphenidate in patients difficult to wean from mechanical ventilation in the intensive care unit.在重症监护病房中,对难以脱离机械通气的患者使用哌醋甲酯治疗抑郁症。
J Clin Psychiatry. 2000 Oct;61(10):750-5. doi: 10.4088/jcp.v61n1007.
3
The use of methylphenidate in depressed patients after cardiac surgery.心脏手术后抑郁症患者使用哌醋甲酯的情况。
J Clin Psychiatry. 1984 Feb;45(2):82-4.
4
Effects of methylphenidate in HIV-related depression: a comparative trial with desipramine.
Int J Psychiatry Med. 1995;25(1):53-67. doi: 10.2190/16FH-9ECT-Y280-VV45.
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Use of pulmonary rehabilitation strategies to wean a difficult-to-wean patient: case study.使用肺康复策略撤机困难患者:病例报告
Crit Care Nurse. 1998 Dec;18(6):29-37.
6
[Report of experiences from the viewpoint of patients. Weaning--an inescapable battle with respiratory insufficiency?].[患者视角的经验报告。撤机——与呼吸功能不全的一场无法逃避的战斗?]
Med Klin (Munich). 1997 Apr 28;92 Suppl 1:129-32.
7
Psychostimulants in post-stroke depression.中风后抑郁症中的精神兴奋剂。
J Neuropsychiatry Clin Neurosci. 1991 Winter;3(1):23-7. doi: 10.1176/jnp.3.1.23.
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Use of stimulants in the medically ill.兴奋剂在患有内科疾病者中的应用。
Psychiatr Clin North Am. 1996 Sep;19(3):515-47. doi: 10.1016/s0193-953x(05)70304-x.
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Patient perception of fatigue while undergoing long-term mechanical ventilation: incidence and associated factors.
Heart Lung. 1998 May-Jun;27(3):177-83. doi: 10.1016/s0147-9563(98)90005-x.
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Patients' perceptions of uncertainty and stress during weaning from mechanical ventilation.
Dimens Crit Care Nurs. 1999 Jan-Feb;18(1):8-12.

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1
Integration of palliative care in chronic critical illness management.慢性危重症管理中姑息治疗的整合。
Respir Care. 2012 Jun;57(6):1004-12; discussion 1012-3. doi: 10.4187/respcare.01624.
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Neuropharmacological mechanisms underlying the neuroprotective effects of methylphenidate.美金刚胺发挥神经保护作用的神经药理学机制。
Curr Neuropharmacol. 2008 Dec;6(4):379-85. doi: 10.2174/157015908787386041.
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Methylphenidate for the treatment of depressive symptoms, including fatigue and apathy, in medically ill older adults and terminally ill adults.
哌甲酯用于治疗患有内科疾病的老年人和晚期疾病患者的抑郁症状,包括疲劳和冷漠。
Am J Geriatr Pharmacother. 2009 Feb;7(1):34-59. doi: 10.1016/j.amjopharm.2009.02.006.