术后谵妄。

L Urbánek, P Urbánková, I Satinský, T Trávníček, I Penka, J Hruda
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引用次数: 0

摘要

术后谵妄是一种严重的并发症,主要发生在 65 岁以上的患者身上。这种并发症在上述年龄段的患者中很常见,有高达 50%的患者出现过这种情况。术后谵妄对术后发病率和死亡率都有重大影响。要降低术后谵妄的风险,就必须系统地及早发现高危患者。然后,针对已确定的患者开展有针对性的工作,以减少发生谵妄的风险因素。在手术过程中采用个性化的麻醉方法。术后首选有助于降低谵妄风险的程序。如果确实发生了这种并发症,最好采用非药物治疗方法来处理任何潜在的病因。药物干预仅适用于谵妄亢进的患者。这篇文章旨在进一步阐明有助于预防谵妄的措施和所用的治疗程序。
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Postoperative delirium.

Postoperative delirium is a serious complication occurring mainly in patients over 65 years. This complication is common in the above mentioned age group and has been described in up to 50% of patients. Postoperative delirium has a significant impact both on postoperative morbidity and mortality. Systematic and early detection of at-risk patients is essential to reduce the risk of postoperative delirium. Targeted efforts are then developed in thus identified patients to reduce the risk factors for developing delirium. An individualized approach to anesthesia is adopted during the surgery. Procedures that contribute to reducing the risk of developing delirium are preferred in the postoperative period. If this complication does occur, it is primarily preferred to manage any potential cause of the condition using non-pharmacological procedures. Pharmacological interven- tion should be reserved only for patients with a hyperactive form of delirium. The aim of the article was to shed more light on measures that help to prevent the delirium and on the therapeutic procedures used.

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来源期刊
Rozhledy v Chirurgii
Rozhledy v Chirurgii Medicine-Medicine (all)
CiteScore
0.50
自引率
0.00%
发文量
67
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