在急性甲基胺和可卡因中毒的背景下恶性猫
Nicholas J Mullen1, VaKara M Meyer Karre, Alëna A Balasanova
1From the College of Medicine, University of Nebraska Medical Center, Omaha, NE (NJM); and Department of Psychiatry, University of Nebraska Medical Center, Omaha, NE (VMMK, AAB).
Journal of addiction medicine
|July 23, 2024
概括
精神兴奋剂中毒,例如甲基胺和可卡因,可能会引发恶性猫头. 建议在这些患者使用抗精神病药物时谨慎使用,这些患者需要监测猫症症状.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 毒理学 毒理学 毒理学
背景情况:
- 恶性猫头是一种严重的神经精神综合征,具有精神运动和自主性不稳定性.
- 它需要紧急的医疗干预.
- 潜在的触发因素包括精神病和医疗条件,但以前没有记录过精神兴奋剂药物使用情况.
研究的目的:
- 报告一种由精神兴奋剂中毒引起的恶性猫头病例.
- 在这种情况下,强调与抗精神病药物使用相关的潜在风险.
主要方法:
- 一个35岁的男性患者因甲基胺和可卡因引起的精神病住院的病例报告.
- 监测白色炎症症状和用洛拉泽和克洛尼丁治疗.
- 在7天内对患者康复的临床观察.
主要成果:
- 患者在入院后发展出恶性catatonia.
- 用洛拉泽和克洛尼丁治疗导致症状在7天内消失.
- 患者在稳定的状态下出院,保持禁欲和功能状态.
结论:
- 精神兴奋剂中毒是恶性catatonia的潜在触发因素.
- 高强度抗精神病药可能会增加患有兴奋剂中毒的患者的风险.
- 建议在因使用兴奋剂而住院的患者中监测猫,并谨慎使用D2受体对抗剂.
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