Behrouz Réza, Godoy Daniel A, Azarpazhooh Mahmoud R, Di Napoli Mario
Department of Neurology, School of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
The Neurointensive Care Unit, Sanatorio Pasteur; and the Intensive Care Unit, Hospital Interzonal de Agudos ''San Juan Bautista," Catamarca, Argentina.
J Crit Care. 2015 Dec;30(6):1272-7. doi: 10.1016/j.jcrc.2015.07.021. Epub 2015 Jul 29.
Altered mental status is a common pathological entity in critically ill patients and particularly in those with preexisting cerebral injury. In the neurological critical care unit, the prevalence of altered mental status is especially high because of the inherent nervous system disease of these patients. Altered mental status can be crudely divided into encephalopathy and delirium. Although often used interchangeably, the 2 pathological entities have subtle differences in etiology and presentation. This is a review of delirium and encephalopathy in the neurological critical care unit.
精神状态改变是危重症患者，尤其是那些已有脑损伤患者常见的病理状态。在神经重症监护病房，由于这些患者固有的神经系统疾病，精神状态改变的发生率特别高。精神状态改变可粗略分为脑病和谵妄。尽管这两种病理状态常被互换使用，但它们在病因和表现上有细微差别。本文综述了神经重症监护病房中的谵妄和脑病。
