小剂量西酞普兰成功治疗心脏移植术后10年惊恐发作1例
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。...
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| Published in | 上海精神医学 Vol. 27; no. 6; pp. 378 - 380 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | Chinese |
| Published |
2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1002-0829 |
| DOI | 10.11919/j.issn.1002-0829.215021 |
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| Abstract | 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。 |
|---|---|
| AbstractList | 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。 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。 |
| Abstract_FL | Summary: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 atfer heart transplant surgery. The attacks started atfer she discovered that the average post-transplantaiton survival is 10 years. Treated with citalopram 10mg/d, her symptoms improved signiifcantly atfer 2 weeks and had completely resolved atfer 8 weeks. A positive physician-patient relationship with the doctors who regularly followed her medical condiiton was crucial to encouraging her to adhere to the treatment with citalopram. She conitnued taking the citalopram for 7 months without any adverse effects. When followed up 3 months atfer stopping the citalopram, she had had no recurrence of the panic attacks. |
| Author | 叶尘宇 庄亚敏 季建林 陈昊 |
| AuthorAffiliation | Department of Medical Psychology, Fudan University Affiliated Zhongshan Hospital, Shanghai, China Department of Cardiac Surgery, Fudan University Affiliated Zhongshan Hospital, Shanghai, China |
| Author_FL | Jianlin JI Yamin ZHUANG Hao CHEN Chenyu YE |
| Author_FL_xml | – sequence: 1 fullname: Chenyu YE – sequence: 2 fullname: Yamin ZHUANG – sequence: 3 fullname: Jianlin JI – sequence: 4 fullname: Hao CHEN |
| Author_xml | – sequence: 1 fullname: 叶尘宇 庄亚敏 季建林 陈昊 |
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| DocumentTitleAlternate | Panic attacks 10 years after heart transplantation successfully treated with low-dose citalopram： a case report |
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| Keywords | panic attacks 惊恐发作 心脏移植 heart transplantaiton China 中国 citalopram 西酞普兰 |
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| Notes | 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. heart transplantation; panic attacks; citalopram; China 31-1564/R Chenyu YE,Yamin ZHUANG,Jianlin JI,Hao CHEN（ 1.Department of Medical Psychology |
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| Snippet | 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... 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... |
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| SubjectTerms | 中国 心脏移植 惊恐发作 西酞普兰 |
| Title | 小剂量西酞普兰成功治疗心脏移植术后10年惊恐发作1例 |
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