Wrist fracture in a patient undergoing electroconvulsive treatment monitored using the "cuff" method
Wrist fracture in a patient undergoing electroconvulsive treatment monitored using the "cuff" method
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使用“袖带”法监测接受电休克治疗的患者手腕骨折
DOI：
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发表时间：
2003
影响因子：
4.7
通讯作者：
T. Bschor
中科院分区：
文献类型：
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作者：
C. Baethge;T. Bschor
抽象。我们报告一个64岁的女性病人谁接受电休克治疗的严重抑郁症。患者手臂桡骨远端持续骨折，通过“袖套”法（Smith骨折）阻断。随后的调查显示她患有骨质疏松症。本病例报告强调了特殊治疗程序对骨质疏松患者和其他有骨折风险的患者群体的重要性。我们建议在常规ECT前评估中筛查骨质疏松症，即使是年轻患者，并建议在有骨折风险的患者中不要将袖带连接到手臂上。在我们的病人中，使用更高剂量的琥珀胆碱，不使用袖带法，继续进行电休克治疗是安全的。
Abstract. We report on a case of a 64-year-old female patient who received electroconvulsive treatment for major depression. The patient sustained a fracture to the distal radius of the arm blocked by the "cuff" method (Smith fracture). Subsequent investigations revealed that she was suffering from osteoporosis. This case report underlines the importance of special treatment procedures for osteoporotic patients and other patient groups at risk for fractures. We recommend screening for osteoporosis in routine pre-ECT evaluation, even in younger patients, and propose not attaching the cuff to the arm in those at risk for fractures. In our patient, electroconvulsive therapy was safely continued using higher doses of succinylcholine and without the cuff method.