PDF(Pubmed)
Abstract：
BACKGROUND: Catatonia encompasses a group of severe psychomotor syndromes affecting patients\' motor, speech, and complex behaviors. Common features include rigidity, reduced mobility, speech, sputum production, defecation, and eating. Risks associated with catatonia, such as increased muscle tension and reduced swallowing and coughing reflexes, along with risks from therapeutic approaches like prolonged bed rest and sedative drugs, can elevate the risk of aspiration pneumonia, severe pneumonia, and acute respiratory failure. These complications significantly impede catatonia treatment, leading to poor prognosis and jeopardizing patient safety.
METHODS: In this report, we present a case of catatonia complicated by severe pneumonia and respiratory failure, successfully managed with modified electroconvulsive therapy alongside tracheotomy. We hope this case provides valuable insights for psychiatrists encountering similar scenarios, facilitating the development of rational therapeutic strategies for prompt improvement of patient condition.
METHODS: In this report, we present a case of catatonia complicated by severe pneumonia and respiratory failure, successfully managed with modified electroconvulsive therapy alongside tracheotomy. We hope this case provides valuable insights for psychiatrists encountering similar scenarios, facilitating the development of rational therapeutic strategies for prompt improvement of patient condition.
摘要：
背景：Catatonia包括一组严重的精神运动综合征，影响患者的运动，演讲,和复杂的行为。共同的特点包括刚性，流动性降低，演讲,痰液生产，排便,和吃。与紧张症相关的风险，如肌肉紧张增加，吞咽和咳嗽反射减少，以及长期卧床休息和镇静药物等治疗方法带来的风险，会增加吸入性肺炎的风险，重症肺炎,急性呼吸衰竭.这些并发症明显阻碍了紧张症的治疗，导致预后不良，危及患者安全。
方法：在本报告中，我们介绍一例伴有严重肺炎和呼吸衰竭的紧张症，在气管切开术的同时，采用改良的电惊厥疗法成功治疗。我们希望这个案例为遇到类似情况的精神科医生提供有价值的见解，促进制定合理的治疗策略，以迅速改善患者病情。
方法：在本报告中，我们介绍一例伴有严重肺炎和呼吸衰竭的紧张症，在气管切开术的同时，采用改良的电惊厥疗法成功治疗。我们希望这个案例为遇到类似情况的精神科医生提供有价值的见解，促进制定合理的治疗策略，以迅速改善患者病情。
