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作者报告用阿米替林(Amitriptyline)成功治愈1例缺氧性脑病患者出现的激动。43岁,男,有嗜酒及偶吸可卡因史。一次吸可卡因后患前壁心肌梗塞而心脏骤停,长期复苏处理后导致严重缺氧性脑病,呈昏迷去皮层状态8天。神经病学检查无局灶征,脑电图符合缺氧性脑损害,无癫痫波。经急性治疗1月好转后,送入康复中心进一步诊治.康复过程中,患者出现精神错乱、烦躁不安、有恐惧感,常大喊“救命”并攻击医护人员,持续3月,虽每日用氟呱啶醇6mg,激动状态不见缓解反增加肌肉强直。后试用阿米替林每晚睡前用25mg,2周后增至每晚75mg,激动明显好转,能与医护
The authors report the successful treatment of 1 patient with hypoxic encephalopathy with Amitriptyline. 43 years old, male, alcoholic and spit cocaine. A suction of cocaine with anterior myocardial infarction and cardiac arrest, long-term recovery treatment led to severe hypoxic encephalopathy, was unconscious for 8 days to the cortex. Neurological examination without focal signs, EEG consistent with hypoxic brain damage, no epilepsy wave. After the improvement of acute treatment in January, it was sent to the rehabilitation center for further diagnosis and treatment. During the rehabilitation, the patients were mentally disturbed, irritable and fearful. They often shouted “help” and attacked the medical staff for 3 months. Although daily Fluoropiperidine alcohol 6mg, no agitation to stimulate the anti-increase muscle rigidity. After a trial of amitriptyline with 25mg per night before going to bed, 2 weeks later increased to 75mg per night, significantly improved excitement, and health care