挽救母亲精神分裂症中的胎儿:电休克治疗(ECT)在妊娠中的作用和安全性。

Othman Abdul Karim, Noraslawati R, Anisah J, Syaratul Emma H
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引用次数: 0

摘要

妊娠期精神分裂症的管理通常是一个临床难题。虽然药物干预对怀孕期间的这些疾病大多有效,但这种方法几乎没有缺点。潜在的致畸性和控制症状所需的长期干预在某种程度上限制了其在怀孕期间的使用。这里我们描述了一个病例报告,治疗难治性精神分裂症成功治疗电痉挛,没有明显并发症的母亲和她的孩子。结论:电休克治疗是妊娠期精神分裂症患者理想的替代治疗方法。ECT还将消除抗精神病药物对母亲的潜在副作用和对胎儿的致畸作用,特别是在妊娠的前三个月。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Saving the Fetus in Maternal Schizophrenia: The Role and Safety of Electroconvulsive Therapy (ECT) in Pregnancy.
Introduction: Managing schizophrenia during pregnancy often presents a clinical dilemma. Although pharmacological interventions are mostly effective for these disorders during pregnancy, there are few drawbacks for this approach. The potential teratogenicity and long duration of interventions required to control the symptoms somehow limits its usage during pregnancy.Here we described a case report of treatment-resistant schizophrenia successfully treated with ECT without obvious complication to the mother and her baby.Conclusion: Electroconvulsive therapy is an ideal alternative treatment for a patient with schizophrenia during pregnancy. ECT also will eliminate the potential side effects of antipsychotic medications on the mother and teratogenicity effect to the fetus, especially during the first trimester.
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