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谵妄。快速识别、仔细评估及恰当治疗。

Delirium. Quick recognition, careful evaluation, and appropriate treatment.

作者信息

Casey D A, DeFazio J V, Vansickle K, Lippmann S B

机构信息

Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, USA.

出版信息

Postgrad Med. 1996 Jul;100(1):121-4, 128, 133-4. doi: 10.3810/pgm.1996.07.12.

Abstract

Delirium is a common medical condition, especially in elderly hospitalized patients. The syndrome is characterized by a short course of confusion and changes in perception and behavior. Early detection can be enhanced by routine assessment of cognitive functioning in hospitalized patients, especially those at risk for delirium. Prompt recognition and aggressive treatment of the underlying cause are essential for a positive outcome. Supportive measures are designed to calm and protect the patient and provide symptomatic relief until the precipitating condition is corrected.

摘要

谵妄是一种常见的医学病症,尤其在老年住院患者中。该综合征的特征是病程短暂的意识混乱以及感知和行为的改变。通过对住院患者,尤其是有谵妄风险的患者进行认知功能的常规评估,可以提高早期检测率。迅速识别并积极治疗潜在病因对于取得良好预后至关重要。支持性措施旨在使患者镇静并保护患者,在诱发状况得到纠正之前提供症状缓解。

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