老年人意识混乱的管理。
Management of confusion in elderly persons.
作者信息
Bayne J R
出版信息
Can Med Assoc J. 1978 Jan 21;118(2):139-41.
Confusional states in the elderly are not uncommon and demand a high level of diagnostic and therapeutic skills in the physician. An immediate requirement is to provide protection and care while the cause is being elucidated. Tranquilizing medication is useful but the dosage must be both sufficient for the patient to gain control and monitored to prevent overdosage. Confusion may be due to disorder in various body systems with effects on the brain, or to a primary brain disorder. Careful evaluation of general health and also of cognitive, affective and social factors is necessary to clarify diagnosis and management.
老年人的意识混乱状态并不罕见，这就要求医生具备高水平的诊断和治疗技能。当病因尚不明朗时，首要任务是提供保护和护理。镇静药物是有用的，但剂量必须既足以让患者得到控制，又要进行监测以防止过量用药。意识混乱可能是由于身体各系统紊乱影响大脑，或者是原发性脑部疾病所致。仔细评估总体健康状况以及认知、情感和社会因素对于明确诊断和治疗至关重要。
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