Postoperative confusion in the elderly
Postoperative confusion in the elderly
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老年人术后意识混乱
DOI：
10.1002/gps.930040604
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发表时间：
1989
影响因子：
4
通讯作者：
J. Whitaker
中科院分区：
文献类型：
--
作者：
J. Whitaker
随着年龄的增长，术后意识模糊是一个越来越重要的问题。其病因复杂且多因素，包括手术因素、麻醉因素、先前存在的医疗、精神或心理问题以及术后并发症。它通常会延长住院时间，尽管大多数情况下精神功能会恢复，但随后可能会出现永久性精神障碍。术后混乱可能会干扰原始手术问题的处理，并且发生在对其处理的兴趣和专业知识较低的环境中。术后意识模糊的识别、治疗和预防仍有改进的空间。需要做更多的工作来评估手术和麻醉对精神功能的影响，特别是对于老年人。
With advancing age, postoperative confusion is an increasingly important problem. Its aetiology is complex and multifactorial and includes surgical factors, anaesthetic factors, preexisting medical, psychiatric or psychological problems and postoperative complications. It often prolongs hospital stay and although mental function recovers in the majority of cases, it may be followed by permanent mental impairment. Postoperative confusion may interfere with the management of the original surgical problem and it occurs in a setting where interest and expertise in its management are low. There is scope for improved recognition, treatment and prevention of postoperative confusion. More work needs to be done to evaluate the effect of surgery and anaesthesia on mental function, especially in the very elderly.