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作 者:薛珲 买苏木·马合木提[2]
机构地区:[1]新疆医科大学研究生学院,新疆维吾尔自治区乌鲁木齐市830000 [2]新疆医科大学第一附属医院心脏中心监护室(CCU)
出 处:《中国全科医学》2011年第5期573-576,共4页Chinese General Practice
摘 要:冠心病重症监护病房(CCU)为心脏病危重患者提供了最先进的技术设备和治疗手段,但部分患者住进CCU后,由于无法适应这个陌生、与外界隔绝的环境,往往容易产生恐惧、焦虑甚至思维紊乱等一系列精神障碍现象,这种现象称为监护病房综合征。监护病房综合征不仅延迟患者的呼吸机撤机时间、延长住监护病房和住院时间、增加监护病房病死率,还影响存活患者的远期认知功能。本文从监护病房综合征的发病率、病因、机制、临床表现、防治等方面进行系统总结,以期早期认识、早期预防监护病房综合征。Coronary care unit(CCU) provides state-of-the-art technical equipment and treatment for in critically ill patients with heart diseases.However,some patients may suffer from a series of mental disorders including fear,anxiety,and even disturbance in thinking after they are enrolled in CCU.These phenomena are known as intensive care unit(ICU) syndrome.Literatures have demonstrated that ICU syndrome not only delays ventilator withdrawal,extend CCU stay and hospital stay,increase the mortality rate,but also affect the long-term cognition function of the survived patients.This article summarizes the incidence,etiology,mechanism,clinical manifestations,prevention,and treatment of ICU syndrome,with an attempt to promote the early detection and management of this disease.
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