Horká E, Hrdlicka M, Morán M, Strnad P, Rektor L
Psychiatrická lécebna, Brno-Cernovice.
Cas Lek Cesk. 1993 Mar 22;132(6):189-91.
The authors present the case-history of a patient treated in the past on account of depressive syndrome who suffered repeatedly from somnolence or even unconsciousness with dyspnoea which called for hospitalization in an anaesthesiological and resuscitation department. The repeatedly expressed suspicion of attempted suicide by drugs was always ruled out by toxicological examination. Based on the clinical picture a preliminary diagnosis of the sleep apnoea syndrome was established confirmed later by polysomnographic examination. The evoking factors of the mentioned serious complications were probably respiratory infections and psychiatric medication, in particular hypnotics--flunitrazepam and triazolam.
作者介绍了一名曾因抑郁综合征接受治疗的患者的病例史。该患者反复出现嗜睡甚至昏迷,并伴有呼吸困难,因此需要在麻醉和复苏科住院治疗。毒理学检查始终排除了反复表达的药物自杀企图的怀疑。根据临床表现初步诊断为睡眠呼吸暂停综合征,后来经多导睡眠图检查得以证实。上述严重并发症的诱发因素可能是呼吸道感染和精神科药物,尤其是催眠药——氟硝西泮和三唑仑。