大面积烧伤引起谵妄的研究进展

doi:10.3877/cma.j.issn.1673-9450.2015.02.015

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。

关键词: 大面积烧伤, 谵妄机制, 诊断, 治疗

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.

Key words: Extensive burns, Delirium mechanisms, Diagnosis, Therapy

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Advances in the study of delirium caused by extensive burn

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Advances in the study of delirium caused by extensive burn