Dickson R A, Hogg L
Department of Psychiatry at the University of Calgary, Alberta, Canada.
Psychiatr Serv. 1998 Aug;49(8):1081-3. doi: 10.1176/ps.49.8.1081.
The authors describe the case of a patient with treatment-resistant schizophrenia who became pregnant after switching from conventional neuroleptic medications to clozapine, an atypical antipsychotic medication that does not cause hyperprolactinemia. Gestational diabetes, possibly exacerbated by clozapine, complicated management of her pregnancy. Comprehensive community support and psychiatric rehabilitation, combined with a positive response to clozapine, contributed to satisfying the patient's goal of having a healthy baby and being able to take the baby home to live with her and her husband.
作者描述了一名难治性精神分裂症患者的病例，该患者在从传统抗精神病药物换用氯氮平（一种不会引起高催乳素血症的非典型抗精神病药物）后怀孕。妊娠糖尿病可能因氯氮平而加重，使她的孕期管理变得复杂。全面的社区支持和精神康复，再加上对氯氮平的积极反应，有助于实现患者生下健康宝宝并能将宝宝带回家与她和丈夫一起生活的目标。
