病人“中邪”还是“发神经”?带你了解术后谵妄

dongfanghui

2020年12月08日08:18  来源:人民网-科普中国
 

“护士,护士,快来,我妈妈好像脑子坏了,把输液管子都拔了,流了好多血。”83岁王阿婆的女儿着急地说。护士和女儿一起到病房一看,发现王阿婆挣扎着起身非要下床,旁边明明只有女儿却吵闹着说她已故的哥哥来接她回家,女儿靠近了还要打骂女儿大喊“你是谁?别碰我!”护士再追问王阿婆连自己在哪里都不清楚。家属着急又迷惑了,母亲明明是髋部骨折到医院手术,之前还好好的,怎么手术后一天突然发神经,是手术把脑子开坏了?还是中邪了?经过医生的诊治,原来王阿婆这些表现的罪魁祸首并非中邪,而是由于老人骨折术后的并发症——谵妄引起的。

什么是谵妄?

zhanwangbushiyizhongjibing,ershiyouduozhongyuanyinyinqidejixingzanshixingdenaogongnengwenluan,biaoxianweituranchuxianyishihunluan、zhuyilibujizhong、shuimianzhangai、ganzhizhangai,huiduirenwu、didian、shijianchanshengcuowuderenshi,shenzhiziworenzhizhangai。changchuxianriyediandao、fenxinyiwang、qingxuwenluan、yuwulunci、wufagoutong。naoqiaotouxiangdejiushizongyoudiaominyaohaizhen,naozhonghuanxiangchuxingxingsesedekehuandianying,yigerenjiunengyanwanyibufuchouzhelianmeng。

zhanwangshilaonianrenshoushuhouchangjiandebingfazheng,kuanbuguzheshoushuhoudelaorengengrongyifasheng。danqishiyebubitebiejinzhang,80%yishanghuanzhedezhengzhuangdouhuizixingxiaoshi,buguozaizhaoguzhanwangdehuanzheshiyidingyaogengduonaixinhexiaoxin。

谵妄的家居照护需要注意些什么呢?

1.baozhengchongzudeshuimian。jijizhiliaoyuanfabing、huanjietengtong,tigongjinlianganjingzhengjie、guangxianwenhedehuanjing,jianshaociji,jianshaohuojiangdizhouweizaoyin,baozhengchongfendeshuimian。bimianshiyongbenerdanzhuoleiyaowu(ru:anding)。

2.heliyueshu,baozhenganquan。danglaonianrenyouzishanghuozheshangrenxingweishi,keyijiyushidangdeyueshu。fangzhilaonianrenzixingjielushangkou,huozhecongchuangshangpaqi,daozhizhuichuanghuozhediedaodefasheng。

3.duojiaoliu,duopeiban。rulaonianrendeganzhigongnengjiaocha,beihaoyanjinghezhutingqi,fangbianjiaoliu。keliaoliaowangshihuozhaoshuxidejiuwu,jiaoliuzhongbimianzhengbianhuoshuofu,bimianzhongfutiwenshibingrenmihuodewenti,jinliangshuncongtamendeyaoqiu,zhuyiyuyan、yudiao,shiqiyouanquangan,xiezhuhuifudingxiangli。

4.yingyangjunheng,jijibuchongyingyang。duochifuhandanbaizhi、weishengsujixianweisudeshiwu,rushourou、jidan、yu、dadoujiqizhipin,shucai(qingcai、qincai、douyadeng)heshuiguo。duiyulaonianren,yaotebiegongjiweishengsudfengfuhegaogaishiwu,rudoulei、danlei、xiapi、niunai,dadoujiqizhipin、shucai、yiner、huashengdeng,kecaiyongshaoshiduocandefangfa。

5.guanlihaomenchuang,bimianlaorenyinhuanjuezoushihuozhuiloudeng。

jingguozheicijingli,wangapodejiashucailejiedaozhanwangshilaonianrenshoushuhouchangfashengdeyizhongqingxing。xiwangnenggoutongguoyishangdejiandanjiangjie,ranggengduodehuanzhejijiashulejiezhanwang,lijie、peihebingnenggoucanyudaohuanzhedezhanwangzhiliaozhong,jiasulaoniankuanbuguzhehuanzhedeshuhoukangfu。

本文由中国科普作家协会医学科普专委会主任委员王韬进行科学性把关。

“达医晓护”供稿

(责编:李慧博、杨鸿光)
 

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