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老年人术后谵妄:诊断与管理

Postoperative delirium in the elderly: diagnosis and management.

作者信息

Robinson Thomas N, Eiseman Ben

机构信息

Department of Surgery, University of Colorado at Denver Health Sciences Center, Aurora, CO, USA.

出版信息

Clin Interv Aging. 2008;3(2):351-5. doi: 10.2147/cia.s2759.

DOI:10.2147/cia.s2759
PMID:18686756
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2546478/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ffb/2546478/63c7f8aae134/cia0302-351-01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ffb/2546478/63c7f8aae134/cia0302-351-01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ffb/2546478/63c7f8aae134/cia0302-351-01.jpg

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Common molecular and pathophysiological underpinnings of delirium and Alzheimer's disease: molecular signatures and therapeutic indications.谵妄和阿尔茨海默病的常见分子和病理生理学基础:分子特征和治疗指征。
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Early incident and subsyndromal delirium in older patients undergoing elective surgical procedures: a randomized clinical trial of an avoid delirium protocol.接受择期外科手术的老年患者早期发生的及亚综合征性谵妄:一项避免谵妄方案的随机临床试验
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