摘要
概述:在接受心脏移植的患者中,惊恐发作是很常见的,但对于这些患者的惊恐发作,没有专门的临床治疗指南。本文报告了一例22岁女性在心脏移植术后10年发生惊恐发作。患者得知心脏移植后平均存活时间是10年之后,出现了惊恐发作。予以西酞普兰10 mg/d治疗,2周后症状明显好转,8周后症状完全消失。定期随访、医患关系良好对鼓励患者坚持西酞普兰治疗至关重要。患者持续服用西酞普兰7个月,无明显不良反应。在停用西酞普兰3个月后随访时,惊恐发作未复发。
Panic attacks are common among patients who have undergone heart transplantation, but there are no clinical guidelines for the treatment of panic attacks in this group of patients. This report describes a 22-year-old woman who experienced panic attacks 10 years after heart transplant surgery. The attacks started after she discovered that the average post-transplantation survival is 10 years. Treated with citalopram 10 mg/d, her symptoms improved significantly after 2 weeks and had completely resolved after 8 weeks. A positive physician-patient relationship with the doctors who regularly followed her medical condition was crucial to encouraging her to adhere to the treatment with citalopram. She continued taking the citalopram for 7 months without any adverse effects. When followed up 3 months after stopping the citalopram, she had had no recurrence of the panic attacks.
出处
《上海精神医学》
CSCD
2015年第6期378-380,共3页
Shanghai Archives of Psychiatry
关键词
心脏移植
惊恐发作
西酞普兰
中国
heart transplantation
panic attacks
citalopram
China
