혈액투석에 의해 유발된 조증 1례

Abstract

요 약 저자들은 만성신부전증으로 혈액투석중인 환자에서 발생한 조증 1례를 약물치료 및 지지 정신치료를 실시하여 치험하였기에 문헌고찰과 함께 보고 하는 바이다.

Psychiatric complications in patients undergoing hemodialysis include depression, acute psychotic reactions, delirium, and mania. Mania during hemodialysis is not as common as depression, as evidenced by a paucity of such case reports in the foreign literature and by there is no such a report in domestic literature. We experienced the case of 39-year-old man with chronic renal failure secondary to chronic glomerulonephritis who developed mania during hemodialysis for about 2 months. He has been treated with haloperidol, clonazepam, and supportive psychotherapy. With 3 months follow up, has been doing well and has returned to work.