Background Electroconvulsive therapy (ECT) combined with mood stabilizers is an effective method of treatment for manic episodes; however, there are controversial views on its side effects. Case presentation A 53-year-old man was diagnosed with bipolar disorder during a manic episode, and had previous conditions such as hypertension, and diabetes. He developed reversible delirium and anomic aphasia during combined treatment with lithium and ECT (Li-ECT). No other neurological symptoms or signs happened during the one-month follow-up period. Conclusions The anomic aphasia appeared after ECT was reversible. Li-ECT should be administered with caution to middle- and older-aged patients with comorbidities, and serum Li levels should be closely monitored during the treatment period.

The traditional evaluation methods usually use static and linear techniques to analyze the target audience, and it cannot fully and dynamically reflect the status quo and development trend of the evaluation object. Therefore, applying these methods to evaluate the sustainable development trend of the scenic deficiencies which is a complex and giant system has some deficiencies. In order to solve the above problem, this thesis is based on the management entropy theory, and will create the methods of traditional evaluation.

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