Psychiatric complications in the critically ill cardiac patient.
Psychiatric complications in the critically ill cardiac patient.
复制标题
危重心脏病患者的精神并发症。
DOI：
--
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发表时间：
1993
影响因子：
0.9
通讯作者：
E. Cassem
中科院分区：
文献类型：
--
作者：
K. Sanders;E. Cassem
重症心脏病患者的精神病学咨询集中在几个常见的问题上：焦虑、精神错乱、抑郁、人格反应和行为障碍。回顾了冠心病监护病房中焦虑的原因和治疗，接着讨论了危重心脏病患者的精神错乱。还包括与使用主动脉内气囊反搏和大剂量氟哌啶醇静脉注射治疗相关的妄想症的描述。在重症监护病房的最初危机稳定下来后，患者发病前的人格特征可能会表现为行为障碍--特别是随着住院时间的增加。精神病学咨询的使用结束了讨论。
Psychiatric consultation to the critically ill cardiac patient focuses on several common problems: anxiety, delirium, depression, personality reactions, and behavioral disturbances. A review of the causes and treatment of anxiety in the coronary care unit is followed by a discussion of delirium in the critically ill cardiac patient. A description of delirium associated with the use of the intraaortic balloon pump and its treatment with high doses of intravenous haloperidol is also included. After the initial crisis has been stabilized in the critical care unit, the premorbid personality traits of the patient may emerge as behavioral disturbances--particularly as the duration of stay increases. The use of psychiatric consultation completes the discussion.