摘要
目的探讨全麻病人苏醒期间发生严重谵妄的原因、临床特点、并发症及防治措施。方法对108例全麻病人苏醒期出现严重谵妄的临床资料进行回顾性分析。结果谵妄的易感因素为术前焦虑、创伤、脑缺氧；诱发因素为麻醉深度不当、缺氧、过量抗胆碱类药物；临床特点为显著波动性的精神运动行为和睡眠障碍；谵妄可导致坠床、骨折、心律失常、缺氧等并发症。适量应用氟哌利多（0．04-0．05mg／kg）和综合处理可减轻严重谵妄的精神运动性行为障碍。结论谵妄是全麻的一种严重并发症，必须早期预防、及时诊治，术前加强心理支持，确保输液通道并完备抢救药品，完善麻醉管理以及医护人员紧密合作，以防意外伤害事件发生。
Objective To investigate the reason, clinical feature ,complication and control measures of severe delirium in anesthesia recovery period. Methods The clinical data of 108 cases with se- vere delirium in anesthesia recovery period were retrospectively analyzed. Results The predisposing factors of severe delirium were preoperative anxiety, trauma and cerebral anoxia; The inducing factors were improper anesthetic depth, hypoxia and overdose of anticholinergic agents; the clinical features were remarkable fluctuation of psychomotor behavior and dyssomnia; the complication were falling out of bed, fractures, anoxia and arrhythmia. Conclusion Delirium is a severe complication of anesthesia which need early prevention and treatment. To avoid the occurrence of unintentional injury, the preoperational psychological supports need to enhanced, effective intravenous transfusion channels need to established and emergency medicine need to prepared, management of anesthesia need to perfected, doctor and nurse need to cooperated closely.
出处
《湖北民族学院学报（医学版）》
2007年第3期34-36,共3页
Journal of Hubei Minzu University(Medical Edition)
关键词
麻醉
全身
苏醒期
谵妄
临床分析
Anesthesia
Systemic
Recovery period
Delirium
Clinical analysis
