外科患者急性精神障碍的临床分析  

The clinical analyse of acute mental aberration in surgical patient

作　　者：刘丹[1] 王允[2] 

机构地区：[1]四川省安岳县中医医院,642350 [2]四川大学华西医院胸心血管外科,成都市610041

出　　处：《临床合理用药杂志》2011年第13期40-41,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的了解严重创伤、大手术后外科患者精神障碍的发生率,探讨与之相关的影响因素和治疗方法。方法对12例严重创伤及大手术后出现精神障碍临床症状的患者积极控制原发疾病,并给予镇静剂及心理干预治疗。结果所有患者对治疗反应良好,全部患者出院时无精神遗留障碍。结论严重创伤、大手术后精神障碍发生与年龄、创伤严重程度、疼痛、麻醉打击、术前焦虑的心理状态、围术期血流动力学不稳定等因素密切相关。提高对创伤后应激障碍(PTSD)和术后谵妄(POP)的认识,对高危患者及时行心理干预,以减少术后并发症、促进患者术后康复。Objective To understand the incidence of mental aberration of severe trauma,surgical patient after major surgery,to discuss the influence of associated factors and treatment method.Methods 12 cases patients with clinical symptoms of mental aberration after severe trauma and major surgery positive controled primary disease,and were given sedatives and psychological intervention.Results All patients responded well to treatment,all patients left without mental aberration discharge.Conclusion The occurrence of mental aberration of severe trauma,major surgery after are closely related with age,injury severity,pain,anesthesia combat,the mental state of anxiety before surgery,perioperative hemodynamic instability and other factors.Improve post-traumatic stress disorder（PTSD） and awareness of postoperative delirium （POP）,give psychological intervention on high-risk patients in a timely manner in order to reduce postoperative complications and promote postoperative recovery.

关 键 词：外科患者 严重创伤 精神障碍 急性 

分 类 号：R749.5[医药卫生—神经病学与精神病学]