Misra Sahana, Ganzini Linda
Portland VAMC, Mental Health Division (P3MHDC), 3710 SW US Veterans Hospital Road, Portland, OR 97239, USA.
Crit Care Clin. 2003 Oct;19(4):771-87, viii. doi: 10.1016/s0749-0704(03)00048-4.
Patients who are critically ill often develop a variety of psychiatric symptoms, which require assessment and treatment. The most common psychiatric disorder in the intensive care unit is delirium. Depressed mood and anxiety also occur, at times as discrete disorders, but more often secondary to delirium. Patients with severe mental illnesses, such as schizophrenia and bipolar affective disorder, also may become critically ill--assessment and management of these patients often requires specialized psychiatric care and is not addressed here.
重症患者常常会出现各种精神症状，这需要进行评估和治疗。重症监护病房中最常见的精神障碍是谵妄。抑郁情绪和焦虑也会出现，有时是作为独立的病症，但更常见的是继发于谵妄。患有严重精神疾病的患者，如精神分裂症和双相情感障碍患者，也可能病情危重——对这些患者的评估和管理通常需要专门的精神科护理，本文对此不作讨论。
