Golinger R C
Surg Gynecol Obstet. 1986 Aug;163(2):104-6.
All 150 psychiatric consultations performed upon patients hospitalized on the Surgery service at The Johns Hopkins Hospital during a period of two years were studied with particular attention to delirium which was found in 20.7 per cent of the patients. Delirium was the most common psychosis in elderly and postoperative patients. Mood disturbance was the most common reason given for request for psychiatric consultation (39.3 per cent). Delirium was diagnosed in 26.3 per cent of those patients. Delirium is a common syndrome and presents as altered consciousness with cognitive impairment. It is often not appreciated by the surgeon because of the impressive nature of associated symptoms which might be given undue emphasis. Assessment of consciousness and cognitive function should be performed promptly whenever psychiatric disorders are suspected.
对约翰霍普金斯医院外科病房在两年期间住院的患者进行的150次精神科会诊进行了研究，特别关注谵妄，发现20.7%的患者存在谵妄。谵妄是老年患者和术后患者中最常见的精神病。情绪障碍是请求精神科会诊最常见的原因（39.3%）。在这些患者中，26.3%被诊断为谵妄。谵妄是一种常见综合征，表现为意识改变和认知障碍。由于相关症状的显著性质可能被过度强调，外科医生常常对此认识不足。每当怀疑有精神疾病时，应立即对意识和认知功能进行评估。
