Olympio M A
Department of Anesthesia, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27103.
J Clin Anesth. 1991 Jan-Feb;3(1):60-3. doi: 10.1016/0952-8180(91)90209-6.
Postanesthetic delirium is a type of postoperative emotional response occurring immediately after emergence from general anesthesia. Associated with excitement and confusion, the alternative terms emergence delirium or postanesthetic excitement are frequently used. Historically, the more encompassing term postoperative psychosis is used interchangeably but more frequently refers to those conditions occurring after a lucid interval of 24 to 48 hours. Either phenomenon may arise from a variety of disturbances, with drug reactions, hypoxemia, or reaction to pain being common, or it may arise from psychological causes. Reported is a case of postanesthetic delirium in a healthy young man. An historical overview of this potentially harmful condition, with specific recommendations for diagnosis and treatment, also is presented.
麻醉后谵妄是全身麻醉苏醒后立即出现的一种术后情绪反应。它与兴奋和混乱相关，常用的替代术语有苏醒期谵妄或麻醉后兴奋。从历史上看，更具包容性的术语术后精神病与之互换使用，但更常指在清醒间隔24至48小时后出现的情况。这两种现象都可能由多种干扰引起，药物反应、低氧血症或对疼痛的反应较为常见，也可能由心理原因引起。本文报告了一例健康年轻男性的麻醉后谵妄病例。还介绍了这种潜在有害状况的历史概述，并给出了诊断和治疗的具体建议。
