【摘要】 目的回顾性分析近4年急性心肌梗死(AMI)的老年患者急诊行经皮腔内冠状动脉成形术(PTCA)围术期的急性谵妄综合征患者的临床资料,以期增加对这一组疾病的认识,减少高危患者的病死率。方法共检测AMI患者急诊PTCA86例,26例入选研究组。对其病史资料,实验室检查和入院后发生谵妄的患者评定谵妄的严重程度。结果血氧分压和血氧饱和度、年龄、并发多种躯体疾病、心肺复苏和使用呼吸机使谵妄发生率明显增加。结论本组患者中谵妄的发生率为25.7%。所有患者均为一过性谵妄,年龄越大,谵妄发生率越高,血氧饱和度、氧分压变化是预示谵妄发生与否的敏感指标。采用静脉持续注射地西泮或咪哒唑仑控制谵妄症状安全有效。更多还原

【Abstract】 Objective To investigate the treatment and prognosis of delirium syndrome in elder acute myocardial infarction(AMI) patients treated by direct percutaneous transluminal coronary angioplasty( PTCA). Methods Clinical data of 86 AMI patients in the last 4 years were reviewed, 26 cases of which were enrolled into study group and their delirium severities were classified. Results Lower oxygen partial pressure, Lower blood oxygen saturation, aged, associated multiple body disease, cardiopulmonary resuscitation and mechanic ventilation were related to the occurrence of delirium. Conclusion The incidence of delirium in the study group is 25.7%. All the delirium only occurred transiently.With the age senior,the risk of delirium increases.Lower oxygen partial pressure and blood oxygen saturation are the sensitive indications of delirium.Continuous intravenous diazepam or midazolam is safe and effective.更多还原