Successful treatment of a patient with catatonia and sever pneumonia using modified electroconvulsive therapy performed with tracheotomy
10.3760/cma.j.cn113661-20231010-00126
- VernacularTitle:气管切开下行改良电休克治疗合并重症肺炎的紧张症1例
- Author:
Yuejing WU
1
;
Qian HE
1
;
Li ZHANG
1
;
Zhong XU
1
;
Qiaoqiao LU
1
;
Fugang LUO
1
Author Information
1. 浙江大学医学院附属精神卫生中心 杭州市第七人民医院，杭州 310012
- Publication Type:Journal Article
- Keywords:
Catatonia;
Respiratory distress syndrome,adult;
Tracheotomy;
Aspiration pneumonia;
Modified electroconvulsive therapy
- From:
Chinese Journal of Psychiatry
2024;57(6):367-370
- CountryChina
- Language:Chinese
-
Abstract:
Catatonia is a group of severe psychomotor syndromes that affect patients' motor function, speech, and complex behaviors. Patients with catatonia typically display rigidity accompanied by decreased mobility, speech, sputum production, defecation, and eating. Both catatonia-related risks, such as increased muscle tension, reduced swallowing, and coughing reflexes, and risks attributed to therapeutic methods, such as prolonged bed rest and sedative drugs, can increase the risk of aspiration pneumonia, severe pneumonia, and acute respiratory failure. These conditions and complications can seriously affect the treatment of catatonia, lead to poor prognosis, and threaten the patient's safety. This paper reports a patient with catatonia combined with severe pneumonia and respiratory distress syndrome recovered after modified electroconvulsive therapy (MECT) under tracheotomy. This case report can offer valuable insights for psychiatrists when facing similar cases and assist in making rational therapeutic plans to improve the condition as soon as possible.
