刘冬梅,谭红,张锐.血液灌流联合血液透析治疗恶性综合征1例[J].四川精神卫生杂志,2020,33(3):282-283.
血液灌流联合血液透析治疗恶性综合征1例
Hemoperfusion combined with hemodialysis in the treatment of neuroleptic malignant syndrome: a case report
投稿时间:2019-06-17  
DOI:10.11886/scjsws20190617001
中文关键词:  血液灌流  血液透析  抗精神病药物  恶性综合征
英文关键词:Hemoperfusion  Hemodialysis  Antipsychotics  Neuroleptic malignant syndrome
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作者单位邮编
刘冬梅 宜宾市第四人民医院四川 宜宾 644000 644000
谭红 宜宾市第四人民医院四川 宜宾 644000 644000
张锐 宜宾市第二人民医院四川 宜宾 644000 644000
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中文摘要:
      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。
英文摘要:
      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.
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