Safety of Electroconvulsive Therapy in Psychiatric Patients Shortly After the Occurrence of Pulmonary Embolism

被引：13

作者：

Suzuki, Kazumasa ^{[1
]}

Takamatsu, Kousei ^{[2
]}

Takano, Takehisa ^{[2
]}

Tanabe, Youichirou ^{[1
]}

Fujiyama, Ko ^{[1
]}

Matsuoka, Hiroo ^{[2
]}

机构：

[1] Tohoku Univ Hosp, Dept Psychiat, Aoba Ku, Sendai, Miyagi 9808574, Japan

[2] Tohoku Univ, Dept Psychiat, Grad Sch Med, Sendai, Miyagi 980, Japan

来源：

JOURNAL OF ECT | 2008年 / 24卷 / 04期

关键词：

pulmonary embolism; deep vein thrombosis; anticoagulant therapy; electroconvulsive therapy; depression; catatonia;

D O I：

10.1097/YCT.0b013e31816c434a

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

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).

引用

页码：286 / 288

页数：3

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