Wilber Scott T, Ondrejka Jason E
Department of Emergency Medicine, Summa Health System-Akron City Hospital, Northeastern Ohio Medical University, 525 East Market Street, Akron, OH 44309, USA.
Department of Emergency Medicine, Summa Health System-Akron City Hospital, Northeastern Ohio Medical University, 525 East Market Street, Akron, OH 44309, USA.
Emerg Med Clin North Am. 2016 Aug;34(3):649-65. doi: 10.1016/j.emc.2016.04.012.
Older patients who present to the emergency department frequently have acute or chronic alterations of their mental status, including their level of consciousness and cognition. Recognizing both acute and chronic changes in cognition are important for emergency physicians. Delirium is an acute change in attention, awareness, and cognition. Numerous life-threatening conditions can cause delirium; therefore, prompt recognition and treatment are critical. The authors discuss an organized approach that can lead to a prompt diagnosis within the time constraints of the emergency department.
经常前往急诊科就诊的老年患者，其精神状态往往存在急性或慢性改变，包括意识水平和认知能力。识别认知方面的急性和慢性变化对急诊医生来说很重要。谵妄是注意力、意识和认知方面的急性变化。许多危及生命的情况都可能导致谵妄；因此，及时识别和治疗至关重要。作者讨论了一种有条理的方法，这种方法能够在急诊科的时间限制内实现快速诊断。
