当前位置: 100md首页 > 医学版 > 医学资料 > 相关其它 > 教育科研 > 继续教育 > 精神科 > 01
编号:10301817
精神科猝死,猝死倾向与处理(3)
http://www.100md.com 2003年9月26日 好医生
     (二) 处理原则

    若出现猝死征象时,及时发现诊断明确,分清药源性和非药源性猝死症;抢救迅速而恰当,尽快消除猝死的有关原因和因素,尽早脱险;若是药源性猝死症,分析发生机理可据情选用拮抗药物;同时注意药物一般中毒的处理;注意并发症的预防和治疗;治疗期间以防产生矛盾用药现象;在拮抗药物的应用时,注意植物神经系统药物如抗胆碱药物,拟胆碱药物,抗交感药物和拟交感药物的应用,如药源性肺水肿合理应用抗胆碱药,严重的心动过缓合理应用阿托品和拟肾上腺素能药;恶性腰麻痹合理应用拟胆碱药等。若是非药源性猝死症,必须立即请内科会诊,由内科医生指导下进行系统、恰当的治疗,否则难免一猝死或病死。

    参考文献

    1. 沈渔邨主编 精神病学 第三版 北京:人民卫生出版社,1994:909-991

    2. 何级 张习远主编 精神病防治学 天津:天津科学技术出版社,1994:81-184
, http://www.100md.com
    3. 杨德森主编 基础精神医学 长沙:湖南科学技术出版社,1994:562-618

    4. 贺宪武主编 心脑血管急症 北京:人民军医出版社,1993:161-169

    5. Alexander H,Glassman M.D., and Peter A Shapiro, M.D. Depression and course of coronary artery disease. The American Journal of Psychiatry, 1998,155(1)4-11

    6. Weeke A, Cause of death in manic-depressires in origin Prerention and Treatment of Affective Disarders Edited by Schou M, stromgren E.London, Academic Press, 1979:289-299
, 百拇医药
    7. Weeke A,Juelk Veath M,Cardiovascular death and manic-depressive psychosis. The Jourcal of Affective Disarder,1987,13:287-2928. Sharman R,Markar HR, Mortality in affective disarder. The Journal of Affective Disarder,1994,13:91-96

    9. Bruce MI,Leaf PJ,Rozal GPM.FloricL,Hoff RA. Psychiatric status and 9 years martality data in the New Haven Eepidemiologic Catchment Area study, The American Journal of Poychiatry,1994,151:716-721

, 百拇医药     10. Clive Holmes,Carsten Russ, Gearge Kirav, et al,Apolipoprotein E.Depressive illness, depressive symptoms, and Alzheimer's disease. Biological Psychiatry, A Journal of Psychiatric Nearscience,1998,43(3)159-164

    11. Christian Kohler, Charliel. Svanson, Rubeac Gur, et tl. Depression in schizophrenia:II MRI and PET Findings. Biological Psychiatry. A Journal of Psychiatric Neuroscience,1998,43(3-1):159-164

    12. Lown B.Role of higher neurous activity in sudden cardic death. Ipn CincJ,1990,54:581-602
, 百拇医药
    13. Liesbeth van Londen, Gerard A Kerard A Kerhat. Frans van den Berg, et al.Plasma arginine vasopressin and martor activity in major depression, Biological Psychiatry. A Journal of Psychiatric Neuroscience,1998,43(3):196-204

    14. 韩春美 白泉东 韩勇 抗精神病药物的拟胆碱作用初探,临床精神医学杂志;1998,增刊:31-33

    15. 陈巍编 常用药物的副作用及其处理,济南:山东科学技术出版社,1981:74-89

    16. 许桐道综述 药源性急性肌张力障碍,国外精神病学分册,1988,15:95-98
, 百拇医药
    17. 叶平 尚延忠 王节等,颈动脉内膜——中层厚变与载脂蛋白基因多态性,实用老年医学,1998,12(1):22-24

    18. Fisicare M,Danck GM,Valentim, et al.Apolipapratein E and angiotensin conveiting enzyme 1/D gene polymor phibms and carotid wall thickness in asymptomatic adults. Atherosclerosis,1997,134(1):378

    19. Aronow ws,shoenfeld MR. Paulp. Risk factors extracranial or common caratid arterial disease in person aged 60 years and older. Am J Cardior,1989,63(4):881

    20. Shinozakik, Naribomi H,Shimin T.Role of insulin resistence associated with compensatary hyperinsulinemia in insulin strok. Strok,1996,27(1):37-43

    21. 余正尧 冠心病患者心理社会因素与血清脂质水平的相关性研究,临床精神医学杂志,1998,8(1)17-18, 百拇医药
上一页1 2 3