Abrams R
Chicago Medical School, North Chicago, Illinois 60064, U.S.A.
Convuls Ther. 1997 Sep;13(3):125-7.
ECT is a low-risk procedure, even in the older cardiac patient who is fast becoming the modal candidate for this therapy. To put the mortal risk with ECT in proper perspective, it is only necessary to note that ECT is about 10 times safer than childbirth, that approximately 6 times as many deaths annually in the U.S. are caused by lightning as by ECT, that two complications of psychotropic drug therapy in younger women-fatal myocardial infarction and fatal subarachnoid hemorrhage-virtually never occur with ECT, and that the death rate reported for ECT is an order of magnitude smaller than the spontaneous death rate in the general population.
ECT是一种低风险的治疗方法,即使对于那些迅速成为这种治疗主要候选对象的老年心脏病患者也是如此。为了正确看待ECT的致命风险,只需注意到ECT比分娩安全约10倍,在美国每年因雷击导致的死亡人数约为ECT的6倍,年轻女性精神药物治疗的两种并发症——致命性心肌梗死和致命性蛛网膜下腔出血——在ECT治疗中几乎从未发生,而且ECT报告的死亡率比普通人群的自然死亡率低一个数量级。