摘要
目的:探讨老年患者腹腔镜手术后发生谵妄的原因、处理及预防措施。方法:回顾分析2008年1月至2012年12月腹腔镜手术后出现谵妄症状的23例老年患者的临床资料。结果:23例患者中,19例症状较轻,经吸氧,使用氟哌啶醇、氟哌利多、奥氮平、氯丙嗪等药物对症治疗后24 h内好转;4例症状较重,予以改善脑循环及补充营养等支持疗法,并辅以心理治疗,1周内症状消失。无一例死亡。结论:老年患者行腹腔镜手术后发生的急性谵妄早期发现、诊断并治疗,对其术后早日康复具有重要意义。
Objective：To study the reason,treatment and prevention methods of postoperative delirium in elderly patients undergoing laparoscopic surgery.Methods：A retrospective analysis was made on clinical data of 23 elderly patients who suffered from postoperative delirium after laparoscopic surgery from Jan.2008 to Dec.2012.Results：Nineteen patients who had mild symptoms of postoperative delirium recovered in 24 h after oxygen inhalation and medical treatment,such as haloperidol,olanzapine,droperidol and chlorpromazine,and were discharged smoothly.4 patients with severe symptoms underwent supportive therapy（improving the cerebral circulation,nutritional supplement and so on） associated with psychotherapy,their symptoms disappeared in one week.No death occurred.Conclusions：Early detection,diagnosis and treatment has an important significance in speedy recovery of acute delirium in elderly patients after laparoscopic surgery.
出处
《腹腔镜外科杂志》
2013年第6期476-477,共2页
Journal of Laparoscopic Surgery
作者简介
潘孟（1976-）男，广西中医药大学第一附属医院外一科主治医师，主要从事腹腔镜外科及普通外科的研究。
