摘要
本文目的是报道血液灌流联合血液透析治疗恶性综合征1例,为相应临床诊疗提供参考。1例31岁的男性精神分裂症患者接受抗精神病药物治疗11天出现发热、意识障碍、肌张力增高、肌酸激酶升高等,诊断为抗精神病药物所致恶性综合征,立即停用抗精神病药,给予对症治疗,并进行血液灌流联合血液透析治疗两次,抢救18小时后,患者意识清晰;治疗第5天,患者好转出院。
The purpose of this paper is to report a case of neuroleptic malignant syndrome treated by hemoperfusion combined with hemodialysis,so as to provide references for clinical diagnosis and treatment.A 31-year-old male with schizophrenia who presented with fever,disturbance of consciousness,increased muscle tone and elevated creatine kinase level after 11 days of antipsychotic treatment was diagnosed as neuroleptic malignant syndrome.Hemoperfusion combined with hemodialysis was performed twice following antipsychotic drug withdrawal and symptomatic treatment,then the patient regained clear consciousness after 18 hours of rescue and was discharged after 5 days of treatment.
作者
刘冬梅
谭红
张锐
Liu Dongmei;Tan Hong;Zhang Rui(The Forth People’s Hospital of Yibin City,Yibin 644000,China;The Second People’s Hospital of Yibin City,Yibin 644000,China)
出处
《四川精神卫生》
2020年第3期282-283,共2页
Sichuan Mental Health
关键词
血液灌流
血液透析
抗精神病药物
恶性综合征
Hemoperfusion
Hemodialysis
Antipsychotics
Neuroleptic malignant syndrome
