Shapiro Peter A, Fedoronko David A, Epstein Lucy A, Mirasol Elsa G E, Desai Chirag V
Department of Psychiatry, Columbia University, New York, NY 10032, USA.
Crit Care Clin. 2008 Oct;24(4):921-47, x. doi: 10.1016/j.ccc.2008.05.003.
Psychiatric issues are important in the management of patients with heart and lung disease in acute, intensive, and critical care. Adjustment disorders, anxiety disorders, depression, and delirium, sometimes in association with substance abuse and withdrawal problems, are the most common issues, and may affect risk and prognosis of the associated general medical conditions and management in the acute care setting. In children with lung and heart diseases requiring critical care, appreciation of cognitive and social-psychologic developmental milestones is necessary to provide adequate care.
在急性、重症和危重症护理中，精神科问题对于心肺疾病患者的管理至关重要。适应障碍、焦虑症、抑郁症和谵妄，有时与药物滥用和戒断问题相关，是最常见的问题，可能会影响相关一般医疗状况的风险和预后以及急性护理环境中的管理。对于需要重症护理的患有心肺疾病的儿童，了解认知和社会心理发育里程碑对于提供充分护理是必要的。
