神志改变和住院谵妄的处理方法。
Approach to Altered Mental Status and Inpatient Delirium.
机构信息
Department of Neurology, School of Medicine, University of California, San Francisco, CA, USA; Department of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, CA, USA.
Department of Neurology, School of Medicine, University of California, San Francisco, CA, USA; Department of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, CA, USA.
出版信息
Neurol Clin. 2022 Feb;40(1):45-57. doi: 10.1016/j.ncl.2021.08.004.
Altered mental status is a nonspecific diagnosis that encompasses a wide spectrum of disease and is frequently cited as a reason for both hospital admission and inpatient neurologic consultation. There are numerous etiologies of altered mental status, and so although many are facile with the workup of this potentially life-threatening entity, it can nevertheless be overwhelming. Our goal was to provide a practical framework embedded in a current, comprehensive review of the epidemiology, clinical evaluation, and management of undifferentiated altered mental status. We pay particular attention to the management of a critical yet underdiagnosed subtype of altered mental status: delirium.
意识状态改变是一种非特异性诊断，涵盖了广泛的疾病谱，常被作为住院和住院神经科会诊的原因。意识状态改变有许多病因，因此尽管许多人对这种潜在危及生命的疾病的检查很熟练，但它仍然可能让人不知所措。我们的目标是提供一个实用的框架，嵌入对未分化意识状态改变的流行病学、临床评估和管理的当前、全面的综述。我们特别关注一种关键但诊断不足的意识状态改变亚型的管理：谵妄。
Zotero 插件