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急诊室谵妄患者临床资料分析

刘向红   

  1. 江西赣州市人民医院
  • 收稿日期:2010-11-05 修回日期:2011-03-08 出版日期:2011-10-15 发布日期:2011-10-15
  • 通讯作者: 刘向红

Clinical analysis of patients with delirium in the emergency room

Xiang-Hong LIU   

  • Received:2010-11-05 Revised:2011-03-08 Published:2011-10-15 Online:2011-10-15
  • Contact: Xiang-Hong LIU

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摘要： 目的：探讨急诊室谵妄患者的病因和临床特点。方法：对符合DSM-Ⅳ谵妄诊断标准75例谵妄患者的临床资料进行回顾性分析。结果：非老年组病因首位是中毒，而老年组病因首位是综合因素。非老年组临床表现以活动过强型谵妄为主，而老年组以活动减退型谵妄为主。结论：谵妄病因众多，临床表现复杂。非老年谵妄首先须考虑中毒，颅内感染，老年谵妄须首先考虑综合因素，并且须高度重视活动减退型谵妄的诊断。

关键词: 谵妄, 急诊室, 病因, 临床特点

Abstract: Objective To explore the etiology and clinical features of delirium patients in the emergency room.Methods To retrospective analysis the clinical data of 75 delirium patients who were conformed to DSM-Ⅳ delirium diagnosis standard.Results The first cause of non-elderly group was poisoned, while the first cause of the older group was a combination of factors. The hyperactive form of delirium is more common among non-elderly group,while the hypoactive form is more common among older group .Conclusion Delirium causes many clinical manifestations of the complex. Non-senile first need to consider poisoning, intracranial infections, senile delirium shall first consider a combination of factors, and they must attach great importance to the diagnosis of hypoactive delirium.

Key words: delirium, emergency room, etiology, clinical features