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老年患者术后谵妄 被引量:10

Postoperative delirium in geriatric patients
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摘要 谵妄是与意识障碍相联的广泛认知障碍,意识障碍是谵妄的基本特征。谵妄患者的临床表现有注意、记忆、定向、知觉障碍等。老年人术后发生谵妄的情况并不少见。术后谵妄是老年患者术后一种严重的并发症,如果认识不清且不能采取有效措施加以解决会延误诊治,严重者可导至患者死亡。有多种因素可能与其发生有关,包括年龄,术前合并症,药物,术中管理等。针对相关因素的综合预防措施是老年患者术后谵妄的最重要防治策略,其目的是镇静、控制精神状态、改善睡眠。 Delirium is a kind of severe postoperative complication occurred in geriatric patients. It may delay diagnosis and treatment and even lead to the death of patients if it is not recognized and solved in time by effective measures. Conscious disorder is the basic characteristic of delirium. Several factors, such as age, general health status, drug effects, intra-operative management, may be related to the occurrence of delirium. The most important preventive strategy on delirium is to take comprehensive measures according to various correlative factors. Its main purpose is to provide sedation, control spirit state and improve sleep.
作者 刘金虎 岳云
出处 《国际麻醉学与复苏杂志》 CAS 2009年第1期48-51,共4页 International Journal of Anesthesiology and Resuscitation
关键词 术后谵妄 老年 危险因素 Delirium postoperative Elder patient Risk factors
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