Department of Psychology, Atlantic Baptist University, Moncton, New Brunswick Canada.
Neuropsychiatr Dis Treat. 2009;5:61-6. doi: 10.2147/ndt.s2883. Epub 2009 Apr 8.
Excited delirium, sometimes referred to as agitated or excited delirium, is the label assigned to the state of acute behavioral disinhibition manifested in a cluster of behaviors that may include bizarreness, aggressiveness, agitation, ranting, hyperactivity, paranoia, panic, violence, public disturbance, surprising physical strength, profuse sweating due to hyperthermia, respiratory arrest, and death. Excited delirium is reported to result from substance intoxication, psychiatric illness, alcohol withdrawal, head trauma, or a combination of these. This communication reviews the history of the origins of excited delirium, selected research related to its causes, symptoms, management, and the links noted between it and selected medical and psychiatric conditions. Excited delirium involves behavioral and physical symptoms that are also observed in medical and psychiatric conditions such as rhabdomyolysis, neuroleptic malignant syndrome, and catatonia. A useful contribution of this communication is that it links the state of excited delirium to conditions for which there are known and effective medical and psychiatric interventions.
兴奋谵妄，有时也被称为激越性或兴奋性谵妄，是一种急性行为抑制状态的标签，表现为一组行为，可能包括怪异、攻击性、激越、咆哮、多动、偏执、恐慌、暴力、公共干扰、出人意料的体力、过热导致的大量出汗、呼吸暂停和死亡。兴奋谵妄据报道是由物质中毒、精神病、酒精戒断、头部创伤或这些因素的组合引起的。本通讯回顾了兴奋谵妄起源的历史，选择了与病因、症状、管理相关的研究，并注意到它与选定的医学和精神病学状况之间的联系。兴奋谵妄涉及到行为和身体症状，这些症状也在医学和精神病学状况中观察到，如横纹肌溶解症、神经阻滞剂恶性综合征和紧张症。本通讯的一个有用贡献是，它将兴奋谵妄状态与已知和有效的医学和精神病学干预措施相关的状况联系起来。
