Keck School of Medicine of University of Southern California, Departments of Psychiatry and Pediatrics, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Los Angeles, CA, 90027, USA.
Curr Psychiatry Rep. 2017 Nov 7;19(12):101. doi: 10.1007/s11920-017-0851-1.
This review seeks to provide an update on the diagnosis, management, and outcome of pediatric delirium.
Care of patients with delirium depends on correct diagnosis and treatment of its underlying cause. A variety of instruments are available to aid diagnosis. Management of delirium currently depends on atypical antipsychotics, while avoiding agents that may precipitate or exacerbate it. While most critically ill children survive delirium, many children die or have worsening function after their illness. The longer the duration of delirium, the more severe its subsequent problems including postintensive care syndrome and posttraumatic stress disorder. Possible serious long-term consequences emphasize the importance of efforts to improve diagnosis and outcome in critically ill children suffering from delirium.
本文旨在提供儿科谵妄的诊断、治疗和预后的最新进展。
谵妄患者的治疗取决于其潜在病因的正确诊断和治疗。有多种工具可用于辅助诊断。目前，谵妄的治疗主要依赖于非典型抗精神病药物，同时避免使用可能诱发或加重谵妄的药物。虽然大多数危重症儿童能够存活，但仍有许多儿童在疾病后死亡或功能恶化。谵妄持续时间越长，其随后出现的问题越严重，包括重症监护后综合征和创伤后应激障碍。可能存在严重的长期后果，这强调了努力改善患有谵妄的危重症儿童的诊断和预后的重要性。
