Abstract
In a 4-year period from April, 1988 to March, 1992, we performed surgical operation for 12 patients with psychiatric disease. There were 8 men and 4 women, with an average age of 56.5 years. These patients have been troubled with various psychiatric diseases, such as shizophrenia in 7 cases, dementia, mania and depression, Parkinson's disease, mental disorder by methanphetamine and alcholism in each one case, for 3 months to 35 years before the operation. Operations were performed emergently in 5 cases (41.7%) and under general anesthesia in 10 cases (83.3%), Catecholamine-resistant hypotention, suspected to be induced by long-term medication of antipsychotic drugs, was observed in 5 cases (41.7%) in the period of intra-and postoperative stages. Antipsychotic drugs were given until the day before operation, and restarted with meals in all cases. However strange and disquieting behaviors were observed in 6 cases (50%) postoperatively, all of them could be discharged from the hospital with recovery of their surgical diseases. In the management of surgical psychiatric patients, causion should be exersized to the possible occurrence of intra-and postoperative catecholamine-resistant hypotension.
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