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中华损伤与修复杂志(电子版) ›› 2015, Vol. 10 ›› Issue (02) : 180 -184. doi: 10.3877/cma.j.issn.1673-9450.2015.02.015

所属专题: 文献

综述

大面积烧伤引起谵妄的研究进展
周鑫1, 高欣欣1, 陈欣欣1, 王贺1, 金秀1, 于家傲1,()   
  1. 1. 130021 长春,吉林大学白求恩第一医院烧伤外科
  • 收稿日期:2014-12-27 出版日期:2015-04-01
  • 通信作者: 于家傲
  • 基金资助:
    国家卫生部卫生行业科研专项项目(201202002)

Advances in the study of delirium caused by extensive burn

Xin Zhou1, Xinxin Gao1, Xinxin Chen1, He Wang1, Xiu Jin1, Jiaao Yu1,()   

  1. 1. Department of Burns Surgery, the First Bethune Hospital of Jilin University, Changchun 130021, China
  • Received:2014-12-27 Published:2015-04-01
  • Corresponding author: Jiaao Yu
  • About author:
    Corresponding author: Yu Jiaao, Email:
引用本文:

周鑫, 高欣欣, 陈欣欣, 王贺, 金秀, 于家傲. 大面积烧伤引起谵妄的研究进展[J/OL]. 中华损伤与修复杂志(电子版), 2015, 10(02): 180-184.

Xin Zhou, Xinxin Gao, Xinxin Chen, He Wang, Xiu Jin, Jiaao Yu. Advances in the study of delirium caused by extensive burn[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2015, 10(02): 180-184.

谵妄是一种急性非特异性实质脑器官的功能紊乱。中枢神经系统损伤、麻醉药物、手术创伤以及全身感染均可引起谵妄症状。但是大面积烧伤谵妄很少被提及且愈后较差,目前谵妄机制尚无定论,临床上的研究多为回顾性研究,研究方法的敏感性和特异性都相对较低,给谵妄的早期诊断、治疗及愈合后的康复带来极大的困难。这篇综述中,笔者讨论大面积烧伤引起谵妄的机制、诊断以及治疗手段等。

Delirium is an acute non-specific dysfunction existing in the substance of brain. Central nervous system damage, application of anesthetic drugs, surgical trauma and systemic infection are main reasons that can cause symptom of delirium. However, delirium caused by extensive burn was seldom mentioned and had bad prognosis. The present studies are mostly retrospective studies, of which the sensitivity and specificity are relatively insufficient, bringing great difficulties of early diagnosis, treatment and rehabilitation of delirium. In this paper, the mechanisms involved in delirium caused by extensive burn, and present reasonable diagnosis as well as treatments are summarized.

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