中华损伤与修复杂志（电子版）
中華損傷與脩複雜誌（電子版）
중화손상여수복잡지（전자판）
Chinese Journal of Injury Repair and Wound Healing
2015年
2期
180-184
,共5页
周鑫%高欣欣%陈欣欣%王贺%金秀%于家傲
週鑫%高訢訢%陳訢訢%王賀%金秀%于傢傲
주흠%고흔흔%진흔흔%왕하%금수%우가오
大面积烧伤%谵妄机制%诊断%治疗
大麵積燒傷%譫妄機製%診斷%治療
대면적소상%섬망궤제%진단%치료
Extensive burns%Delirium mechanisms%Diagnosis%Therapy
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。
譫妄是一種急性非特異性實質腦器官的功能紊亂。中樞神經繫統損傷、痳醉藥物、手術創傷以及全身感染均可引起譫妄癥狀。但是大麵積燒傷譫妄很少被提及且愈後較差，目前譫妄機製尚無定論，臨床上的研究多為迴顧性研究，研究方法的敏感性和特異性都相對較低，給譫妄的早期診斷、治療及愈閤後的康複帶來極大的睏難。這篇綜述中，筆者討論大麵積燒傷引起譫妄的機製、診斷以及治療手段等。
섬망시일충급성비특이성실질뇌기관적공능문란。중추신경계통손상、마취약물、수술창상이급전신감염균가인기섬망증상。단시대면적소상섬망흔소피제급차유후교차，목전섬망궤제상무정론，림상상적연구다위회고성연구，연구방법적민감성화특이성도상대교저，급섬망적조기진단、치료급유합후적강복대래겁대적곤난。저편종술중，필자토론대면적소상인기섬망적궤제、진단이급치료수단등。
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.
