在静脉静止后出现震动与地震相关的创伤性压力症状
Turk psikiyatri dergisi = Turkish journal of psychiatry
|June 26, 2023
概括
静脉麻醉剂可能会在焦虑患者中引起精神症状. 这一案例凸显了地震幸存者出现动荡和增加焦虑的风险,强调需要仔细的镇静管理.
科学领域:
- 麻醉学 麻醉学
- 精神病学是一个精神病学.
- 灾难医学 灾难医学
背景情况:
- 静脉麻醉剂通常用于小程序期间焦虑的患者.
- 麻醉剂,如米达佐拉姆和胺可以诱导精神病的副作用,包括消抑制,分离,矛盾的焦虑,和出现动荡.
- 创伤后应激障碍是出现动荡的已知危险因素.
研究的目的:
- 讨论在地震后患者的镇静方案中管理创伤性压力症状的重要性.
- 介绍一个病人的案例,在发生大地震后,静脉麻醉镇静后,患者经历了增加的焦虑和出现动荡.
主要方法:
- 一份病例报告详细介绍了一个患者在卡拉曼马拉斯地震后的一次轻微手术中使用镇静剂的经验.
- 审查静脉注射麻醉剂的潜在精神病学副作用,特别是在急性压力和创伤的背景下.
主要成果:
- 患者表现出增加的焦虑和出现动荡,症状类似于急性压力障碍,包括重新经历创伤事件 (地震).
- 这些症状发生在用静脉注射麻醉剂进行局部手术后立即出现.
结论:
- 创伤性压力症状在灾后情景中显著影响镇静管理.
- 医疗保健提供者在给患者注射静脉麻醉剂时必须考虑先前存在的或急性压力症状,特别是在地震等创伤事件后.
- 需要进一步的研究来完善受灾地区弱势群体的镇静指南.
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