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目的探讨急腹症术后谵妄的发生因素,以期预防及降低发病率。方法回顾性分析231例术后谵妄患者的临床资料。结果2 163例急诊手术中231例发生术后谵妄,发生率10.7%,>60岁者发生率37.9%,<60岁者发生率1.8%。死亡8例,病死率3.8%,发病时间为麻醉醒后2 h至术后11 d,尤以术后4 d内最易发作。临床表现意识障碍和精神运动性兴奋,病情昼轻夜重是其主要特点。结论术后谵妄通常是多因素协同作用的结果。术前应改善患者各器官生理功能;术后严密监测病情,及时去除诱发术后谵妄的因素。
Objective To investigate the incidence of delirium after acute abdomen in order to prevent and reduce the incidence. Methods Retrospective analysis of 231 cases of postoperative delirium in patients with clinical data. Results 231 cases of postoperative delirium occurred in 2 163 cases of emergency operation, the incidence rate was 10.7%, the incidence rate was 37.9% in> 60 years and 1.8% in <60 years. 8 died and the case fatality rate was 3.8%. The onset time was 2 hours after anesthesia awake and 11 days after operation, especially in 4 days after operation. Clinical manifestations of disturbance of consciousness and psychomotor excitement, the severity of daytime and nighttime is its main feature. Conclusions Postoperative delirium is usually the result of a multifactorial synergistic effect. Patients should be improved before surgery physiological function of various organs; closely monitor the condition after surgery, timely removal of postoperative delirium induced factors.