儿童谵妄的防治  

Prevention and treatment of pediatric delirium

作　　者：何珊 左泽兰[1] 许峰[1] He Shan;Zuo Zelan;Xu Feng(Ministry of Education Key Laboratory of Child Development and Disorders,National Clinical Research Center for Child Health and Disorders,China International Science and Technology Cooperation Base of Child Development and Critical Disorders,Chongqing Key Laboratory of Pediatrics,Department of PICU,Children′s Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]儿童发育疾病研究教育部重点实验室,国家儿童健康与疾病临床医学研究中心,儿童发育重大疾病国家国际科技合作基地,儿科学重庆市重点实验室,重庆医科大学附属儿童医院重症医学科,重庆400016

出　　处：《中国小儿急救医学》2020年第2期86-91,共6页Chinese Pediatric Emergency Medicine

摘　　要：谵妄是一种急性、波动性的大脑机能障碍的状态,其特征是意识改变,注意力集中、维持或转移的能力降低,可导致认知或感知障碍,幻觉的出现以及睡眠-觉醒障碍,无法用预先存在、已发生或发展中的疾病更好地解释。其发病机制目前尚不明确,与多种因素有关。早期有效识别与评估是儿童谵妄防治的前提基础,儿童谵妄防治临床实践策略仍需进一步研究。Delirium is an acute,fluctuating state of brain dysfunction characterized by a change in consciousness and a reduced ability to concentrate,maintain,or transfer,which can lead to cognitive or perceptual disorders,hallucinations and sleep-arousal disorders.It cannot be better explained by pre-existing,occurring or developing diseases.At present,its pathogenesis is not clear,and is related to a variety of factors.Early and effective identification and evaluation is the premise,and the clinical practice strategy of prevention and treatment of pediatric delirium needs to be further studied.

关 键 词：儿童谵妄 危险因素 预防 治疗 

分 类 号：R74[医药卫生—神经病学与精神病学]