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合并精神疾病患者的术前评估与管理

Preoperative assessment and management of patient with psychiatric comorbidity.

作者信息

Milenović Miodrag, Kalezić Nevena, Simić Dusica, Dimitrijević Draga, Marković Dejan, Dimitrijević Ivan

机构信息

Center for Anesthesia, Clinical Center of Serbia, Belgrade.

出版信息

Acta Chir Iugosl. 2011;58(2):143-9. doi: 10.2298/aci1102143m.

Abstract

This article explains the most frequent psychiatric disorders such as co-morbidity in the acute surgical treatment, along with its position and importance for the surgical procedure. Besides basic features of these disorders, epidemiology and clinical expression, this article holds the latest therapeutic approach, side effects, toxicity and drug interactions, during the surgical procedure. Frequent postoperative problems, delirium, and postoperative cognitive disorders are noted in these patients. To avoid these complications, it is recommended to use a mini-mental score examination to re-evaluate the decision and indication for high risk surgery patient.

摘要

本文解释了急性外科治疗中最常见的精神疾病,如共病,以及其在外科手术中的地位和重要性。除了这些疾病的基本特征、流行病学和临床表现外,本文还介绍了手术过程中的最新治疗方法、副作用、毒性和药物相互作用。这些患者中常见术后问题、谵妄和术后认知障碍。为避免这些并发症,建议使用简易精神状态检查表对高风险手术患者的决策和适应症进行重新评估。

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