胸科术后谵妄躁狂  

Postoperative Phrenitis and Mania following Thoracic Surgery

作　　者：侯二刚[1] 张林浩[1] 彭超英[2] 吴栋[1] 张羽捷[3] 

机构地区：[1]山西医科大学 [2]太原市精神病院 [3]山西省肿瘤医院胸外科,太原市030013

出　　处：《中国肿瘤临床》2007年第7期404-406,共3页Chinese Journal of Clinical Oncology

摘　　要：目的:探讨胸科术后谵妄躁狂的发病因素与诊治。方法:对发生术后谵妄躁狂3例患者进行讨论。结果:经认真观察及时诊断治疗,3例患者均痊愈。结论:术后谵妄躁狂诱因包括外科因素(手术创伤、缺氧、肺部感染、营养状况差等),麻醉因素,精神心理因素三方面。一旦发生,在纠正外科因素前提下,抗精神病药物治疗效果较好。Objective： To evaluate the factors causing and the treatment of postoperative phrenitis and mania following thoracic surgery. Methods： Three patients with postoperative phrenitis and mania following thoracic surgery were discussed. Results： Thanks to earnest observation, timely diagnosis and treatment, the three patients all recovered. Conclusion： The factors involved in postoperative phrenitis and mania following thoracic surgery include three aspects： anesthetic factors, psychological factors, and surgical factors that may include surgical trauma, oxygen deficiency, lung infection, malnutrition and so on. Once postoperative phrenitis and mania occurs, treatment with antipsychoties is the best treatment.

关 键 词：精神障碍 因素 治疗 

分 类 号：R749.1[医药卫生—神经病学与精神病学]