重症监护病房中的意识混乱。
Delirium in the intensive care unit.
机构信息
Department of Anesthesiology and Pain Medicine, Ilsan Hospital, Dongguk University Medical Center, Goyang, Korea.
出版信息
Korean J Anesthesiol. 2013 Sep;65(3):195-202. doi: 10.4097/kjae.2013.65.3.195. Epub 2013 Sep 25.
Abstract
Delirium is a serious complication that commonly occurs in critically ill patients in the intensive care unit (ICU). Delirium is frequently unrecognized or missed despite its high incidence and prevalence, and leads to poor clinical outcomes and an increased cost by increasing morbidity, mortality, and hospital and ICU length of stay. Although its pathophysiology is poorly understood, numerous risk factors for delirium have been suggested. To improve clinical outcomes, it is crucial to perform preventive measures against delirium, to detect delirium early using valid and reliable screening tools, and to treat the underlying causes or hazard symptoms of delirium in a timely manner.
摘要
谵妄是一种严重的并发症，在重症监护病房（ICU）的危重病患者中很常见。尽管谵妄的发病率和患病率很高，但由于其发病率、死亡率以及住院和 ICU 住院时间的增加，导致发病率增加，增加了医疗费用，但其常常未被识别或漏诊。尽管其病理生理学尚不清楚，但已经提出了许多谵妄的危险因素。为了改善临床结局，必须采取预防措施来预防谵妄，使用有效和可靠的筛查工具尽早发现谵妄，并及时治疗谵妄的根本原因或危险症状。
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