Division of Traumatology, Surgical Critical Care and Emergency Surgery, University of Pennsylvania, Philadelphia, PA 19104, USA.
Surg Clin North Am. 2012 Apr;92(2):409-31, x. doi: 10.1016/j.suc.2012.01.012.
Delirium is a common feature of the postoperative period, leading to increased morbidity and mortality and significant costs. Multiple factors predispose a patient to delirium in its hypoactive, hyperactive, or mixed forms. Tools have been validated for its quick and accurate identification to ensure timely and effective multidisciplinary intervention and treatment. A significant percentage of patients may require placement in skilled nursing facilities or similar care environments because of the long-lasting effects. The physician must be vigilant in the search for and identification of all forms of delirium and must effectively treat the underlying medical condition and symptoms.
谵妄是术后时期的常见特征,可导致发病率和死亡率增加,并带来显著的成本。多种因素可导致患者出现低活动型、高活动型或混合型谵妄。已经有工具对其进行了验证,可快速准确地识别谵妄,以确保及时进行有效的多学科干预和治疗。由于谵妄的持续影响,很大一部分患者可能需要安置在熟练护理设施或类似的护理环境中。医生必须警惕寻找和识别所有形式的谵妄,并必须有效地治疗潜在的医疗状况和症状。