体外循环术后精神障碍的临床分析

Clinical Analysis of Mental Disorder after Extracorporeal Circulation

目的 探讨体外循环 (CPB)术后精神障碍的发生率、种类、病因及防治。方法 对 38例CPB术后精神障碍进行回顾分析。结果 本组CPB术后精神障碍的发生率为 3 .17% (38/ 12 0 0 ) ,38例精神障碍表现为抑郁状态 16例 ,谵妄状态 10例 ,神经衰弱综合征 9例 ,精神分裂样状态 3例。经过治疗及护理 ,36例治愈 ,2例死亡。结论 CPB术后脑损害、躯体性因素及精神因素是引起精神障碍的主要原因 。

Objective To explore the morbidity, type, cause, prevention and treatment of mental disorder after extracorporeal circulation. Methods Review analysis of clinical materials of 38 patients with mental disorder after extracorporeal circulation was carried out. Results After operation, the occurrence of mental disorder was 3.17%(38/1200). There were 16 patients with depressed state, 10 patients with delirium state, 9 patients with neurasthenia's syndrome and 3 patients with schizotypal state. By means of treatment and nursing for 38 patients with mental disorder, 36 cases were cured and 2 cases died. Conclusions Brain damage after extracorporeal circulation, body's factor and mental factor are the main causing in mental disorder. To carry out comprehensive prevention and treatment for patients with mental disorder were of important meaning.