论文部分内容阅读
关于 ECT 发作后谵妄,Sackeim 认为系右侧大脑半球受损后,神经代谢活动增强所致。Daniel 则持否定态度,他认为 ECT 发作后产生的谵妄,与电极安放的部位无关。作者对此作了研究。方法:8例抑郁症患者均符合 DSM-Ⅲ诊断标准。在起初的六次电休克治疗中,电极随机安放于双侧、右侧或左侧。第六次治疗后均改为双侧电极治疗。病例报告:每一病例,在复发时都有起于运动性不宁的谵妄状态,最初以自动性行为为特征,其后不断发展为明显的激越,难于控制的躁动。病人感知模糊、言语持续且
With regard to delirium after ECT, Sackeim believes that the right hemisphere of the brain is impaired by increased neuronal metabolic activity. Daniel is negative, he believes that delirium after the onset of ECT has nothing to do with the electrode placement. The author made a research. Methods: All 8 patients with depression met DSM-Ⅲ diagnostic criteria. In the first six ESR treatments, the electrodes were randomly placed on either side, right or left. After the sixth treatment were replaced by bilateral electrode therapy. Case Presentation: In each case, there was delirium at the time of recurrence, which was characterized by auto-behavioral behavior, and subsequently evolved into an obvious agitated and uncontrollable agitation. The patient is vague and the speech is persistent