Young G P
Department of Medicine, University of California, San Francisco.
Emerg Med Clin North Am. 1987 Nov;5(4):765-81.
A practical approach to the evaluation and management of the agitated patient is presented. Organic disorders must be ruled out in this type of patient before functional diagnoses are accepted as diagnoses of exclusion. In this article, a methodical approach to the treatment of the patient's agitation is outlined. If a reversible organic cause for the patient's behavior is not apparent and if the patient does not first respond to verbal communication, then the proper treatment of the patient's agitation includes mechanical and chemical restraints. The article concludes with a review of the pharmacology and indications for use of different classes of sedating agents.
本文介绍了一种评估和管理躁动患者的实用方法。在将功能性诊断作为排除性诊断之前，必须排除这类患者的器质性疾病。本文概述了一种治疗患者躁动的系统方法。如果患者行为的可逆性器质性原因不明显，且患者对言语沟通没有首先做出反应，那么对患者躁动的适当治疗包括机械约束和药物约束。文章最后回顾了不同类镇静剂的药理学及使用指征。
