喹硫平致双下肢水肿报告分析

A case of Quetiapine-induced lower legs edema

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(2)
作者
作者单位

中南大学湘雅二医院精神卫生研究所 ;

摘要
喹硫平是临床上常用的非典型抗精神病药物,其不良反应相对轻微,常见不良反应为困倦、乏力、心率加快、体重增加和体位性低血压等,罕见发生水肿的报告。据我们所知,以往在喹硫平所致不良反应的病例报告中以神经系统损害和引发癫痫最为多见,目前国内有关精神分裂症患者服用喹硫平后出现双下肢水肿的报告较为罕见。喹硫平所致的双下肢水肿在临床上属罕见,因而易被忽视,若能做到早期识别与干预,对于预防严重不良反应的发生具有重要意义,故亦应引起临床医师的高度重视。
Abstract
Quetiapine is an effective atypical antipsychotic, which is commonly used in clinical practice for treatment of schizophrenia and bipolar disorders, and the side effect is less. Edema is extremely rare compared with the common side effects of quetiapine such as sleepiness, faintness, rapid heartbeat, weight gain, orthostatic hypotension and so on. To our knowledge, nervous system impair and induced epilepsy are the most common reports of quetiapine-induced rare side effects. However, so far the report of quetiapine-induced lower legs edema in schizophrenia patient is lacking in the domestic. Therefore, drug induced lower legs edema is easily to be neglected in clinical practice. Early recognition and intervention, which is of great significance to protect severe adverse events, should be highly emphasized by clinicians.
关键词
喹硫平;双下肢水肿;药物不良反应
KeyWord
Quetiapine; Lower legs edema; Side effect
基金项目
页码 292-293
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陶好娟,刘梦琦,谭立文*. 喹硫平致双下肢水肿报告分析 [J]. 国际精神病学杂志. 2018; 45; (2). 292 - 293.

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