Robinson Thomas N, Eiseman Ben
Department of Surgery, University of Colorado at Denver Health Sciences Center, Aurora, CO, USA.
Clin Interv Aging. 2008;3(2):351-5. doi: 10.2147/cia.s2759.
Delirium is a common but often undiagnosed complication in the elderly following a major operation. Recognizing the presentation of delirium and the criteria to establish the diagnosis of delirium will improve a clinician's ability to detect this complication. Treating delirium with environmental, supportive, and pharmacologic interventions reduces the incidence and side effects of postoperative delirium. The purpose of this review is to describe the diagnosis and treatment of postoperative delirium.
谵妄是老年人在接受大手术后常见但往往未被诊断出的并发症。认识谵妄的表现及确立谵妄诊断的标准将提高临床医生检测这一并发症的能力。通过环境、支持性及药物干预措施治疗谵妄可降低术后谵妄的发生率及副作用。本综述的目的是描述术后谵妄的诊断与治疗。