Bowden P
Eur J Intensive Care Med. 1975 May;1(2):85-91. doi: 10.1007/BF00626431.
The post cardiotomy state is typically delirious and although organic factors are important it is multi-determined. Cerebral ischaemia has been implicated in the development of psychological disorder after resuscitation but longer term neurotic disorders also occur. Affective disturbances, particularly depression, are associated with the coronary care experience. The following conditions are directly related to an increased incidence of psychological disorder: age, loss of sleep, sensory deprivation, stressful experiences, pre-operative morbidity (both physical and mental), the severity of both surgical trauma and the post-operative medical state. For both the staff who administer intensive therapy and the patient who receives it there are unique psychological hazards, the management of which depends largely on mutual understanding and support.
心脏手术后的状态通常会出现谵妄，虽然器质性因素很重要，但它是由多种因素决定的。脑缺血与复苏后心理障碍的发生有关，但长期的神经症性障碍也会出现。情感障碍，尤其是抑郁，与冠心病监护经历有关。以下情况与心理障碍发生率增加直接相关：年龄、睡眠丧失、感觉剥夺、压力性经历、术前发病率（包括身体和精神方面）、手术创伤的严重程度以及术后医疗状态。对于实施强化治疗的医护人员和接受治疗的患者来说，都存在独特的心理风险，而对这些风险的管理很大程度上取决于相互理解和支持。
