成人体外循环术后精神症状原因分析  

An Analysis for the Causes of Psychosis after Cardiopulmonary Bypass Operation in Adults

作　　者：蒋小英[1] 金涛[1] 章小飞[1] 方兰花[1] 

机构地区：[1]浙江大学医学院附属第一医院,浙江杭州310003

出　　处：《浙江预防医学》2003年第6期6-7,9,共3页Zhejiang Journal of Preventive Medicine

摘　　要：目的　研究成人体外循环手术以后发生精神症状的高危因素。方法　对 5 2例 16岁以上的体外循环手术后发生精神症状的病人进行分析。结果　主要表现有认知障碍、情感障碍、意志行为障碍及意识障碍。男女之间无明显差异 ,而在患者年龄、术前心功能、既往精神病史、监护室监护时间等方面精神病组和健康组间存在显著差异。结论　成人体外循环手术后发生精神症状的高危因素有患者年龄、术前心功能、既往精神病史、心脏病史、监护室停留时间等 ,应高度重视加强护理和观察。Objective To find out the high risk factors of psychosis in adult heart disease patients after cardiopulmonary bypass operation(CBP). Methods 52 patients over 16, who occurred psychosis after CBP, were compared with those who didnt occur psychosis after CBP were control group. Results Some problems in cognition, emotion, action and consciousness were found and there was no significant difference between male and female. But there were significant differences in age, heart function before CBP, psychotic history or psychotic family history, heart disease history and duration in the ICU between the two analytic groups. Conclusions The high risk factors in adult heart disease patients with psychosis include age, heart function before CBP, psychotic history or psychotic family history , heart disease history and duration in the ICU et al. We should take more care for these patients.

关 键 词：成人 体外循环 术后 精神症状 高危因素 心脏病 心脏直视手术 认知障碍 情感障碍 

分 类 号：R654.2[医药卫生—外科学] R749[医药卫生—临床医学]