Safety of Electroconvulsive Therapy in Psychiatric Patients Shortly After the Occurrence of Pulmonary Embolism
Safety of Electroconvulsive Therapy in Psychiatric Patients Shortly After the Occurrence of Pulmonary Embolism
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DOI：
10.1097/yct.0b013e31816c434a
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发表时间：
2008-12-01
期刊：
影响因子：
2.5
通讯作者：
Matsuoka, Hiroo
中科院分区：
文献类型：
--
作者：
Suzuki, Kazumasa;Takamatsu, Kousei;Matsuoka, Hiroo
我们遇到了 2 名患有精神疾病的患者（一名患有抑郁症，一名患有紧张症），伴有运动抑制，并发肺栓塞 (PE)。在这两个病例中，精神障碍均在抗凝治疗期间通过电休克治疗 (ECT) 得到安全解决。这2例病例提醒我们注意PE发生后不久安全使用ECT的至少3个要点，即在ECT疗程开始前仔细评估心功能和残留深静脉血栓，调整抗凝药物，以及通过抗凝治疗以外的方法（输液、使用支持软管和及时ECT）预防深静脉血栓和PE的复发。
We encountered 2 patients with a psychiatric disorder (depression in one and catatonia in one) accompanied by motor inhibition that was complicated by pulmonary embolism (PE). In both cases, the psychiatric disorder was safely resolved with electroconvulsive therapy (ECT) during anticoagulant therapy. The 2 cases direct our attention to at least 3 important points regarding safe administration of ECT shortly after the occurrence of PE, that is, careful evaluation of cardiac function and residual deep vein thrombosis before the start of an ECT course, adjustment of anticoagulants, and prevention of recurrent deep vein thrombosis and PE by methods in addition to anticoagulant therapy (fluid infusion, use of support hose, and timely ECT).