Post-operative concurrent clinical analysis of 54 cases of delirium.doc

 PAGE \* MERGEFORMAT 5 Post-operative concurrent clinical analysis of 54 cases of delirium [Keywords:] post-operative delirium As the process of preoperative or surgery combined effect of various factors, surgical patients after surgery may be complicated by acute short-term disturbance of consciousness and psychological symptoms, while the postoperative delirium is often characterized by physical illness or drug poisoning, although its incidence is low, But the delay will be missed or ignored the basis of the treatment of disease will not only increase the pressure sores, chest infections, falls, and the incidence of venous thrombosis, but also can lead to patients with depression or self-mutilation, or even cause coma or death, but also make the patient’s prolonged hospitalization, medical personnel load, family and social and economic burden [1]. Are now in our hospital from January 1997 to August 2008 patients with postoperative delirium were retrospectively analyzed 54 cases, the report is as follows. A clinical data 1.1 General Information The group of 54 cases, 46 cases were male and 8 female, aged 46 to 80 years (mean 68.5 years, 60 years of age 6 cases). Past alcoholics were 19 cases (duration of alcohol consumption 10 ~ 29 years, daily alcohol consumption 250 ~ 600g), were 18 cases, tobacco (smoking time of 15 ~ 35 years, daily smokers 10 ~ 45). 18 cases of hypertension, diabetes mellitus in 13 cases, coronary heart disease in 12 cases, mild renal insufficiency in 2 cases. Preoperative patient Manchu language divine benefits, exchanges along these lines to the point, there was no history of epilepsy and other mental symptoms. Orthopedic surgery in 15 cases, 20 cases of thoracic surgery, general surgery in 12 cases, urologic surgery in 7 cases. 39 cases of general anesthesia, epidural anesthesia in 15 cases, anesthesia drugs are midazolam, propofol, fentanyl, etc. anesthesia through smoothly. 1.2 Clinical manifestations Symptoms begin time: 1 da