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氯氮平所致心肌炎的临床特点及危险因素(综述)

李米尔 丁娈媚 赵海强 行浩然 张盈盈 鲍天昊

中国心理卫生杂志2026,Vol.40Issue(6):485-490,6.
中国心理卫生杂志2026,Vol.40Issue(6):485-490,6.DOI:10.3969/j.issn.1000-6729.2026.06.04

氯氮平所致心肌炎的临床特点及危险因素(综述)

A review of clinical characteristics and risk factors associated with clozapine-induced myocarditis

李米尔 1丁娈媚 1赵海强 1行浩然 1张盈盈 1鲍天昊1

作者信息

  • 1. 云南省精神病医院,昆明医科大学附属精神卫生中心科教部,昆明 650224
  • 折叠

摘要

Abstract

Clozapine-induced myocarditis(CIM)is a rare but potentially life-threatening adverse reaction associated with clozapine treatment for schizophrenia.In recent years,growing attention has been paid to CIM due to its severe clinical outcomes.However,its specific risk factors remain unclear,and no widely accepted consensus or guidelines have been established for its monitoring and management,making targeted prevention and management in clinical practice difficult.This paper summarizes the clinical characteristics of CIM and systematically analyzes potential risk factors,including clozapine metabolic abnormalities,rapid titration,and genetic or racial predisposi-tions,with the aim to provide references supporting the clinical prevention and management of CIM.

关键词

氯氮平/氯氮平所致心肌炎/临床特点/危险因素/精神分裂症/综述

Key words

clozapine/clozapine-induced myocarditis/clinical characteristics/risk factors/schizophrenia/re-view

分类

医药卫生

引用本文复制引用

李米尔,丁娈媚,赵海强,行浩然,张盈盈,鲍天昊..氯氮平所致心肌炎的临床特点及危险因素(综述)[J].中国心理卫生杂志,2026,40(6):485-490,6.

基金项目

国家自然科学基金(82160269 ()

82360275 ()

82160272) ()

中国心理卫生杂志

OACHSSCD

1000-6729

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