ICU谵妄患者病因分析以及处理

分析急诊ICU患者出现谵妄症状的原因以及处理对策。分析总结我院急诊ICU3年间所有患者的资料，发现20．2％的患者出现谵妄症状，原因为：（1）疾病相关；（2）药物相关；（3）监护环境等多种因素作用结果。经过调整治疗方案、加强心理护理后，需要镇静药物的仅为谵妄患者的19．7％。因此寻找谵妄原因很重要，治疗重点在于去除谵妄原因以及相关促发因素。

Analysis of Patients with Delirium in Intensive Care Unit

Analyze the causes of patients with delirium and their management in ICU. Review the document of patient with delirium in Emergency Intensive Care Unit of Beijing university people＇s hospital; analyze the causes of delirium, manage- ment and outcome of the patients. The rate of delirium of our patients was 20.2~. Their causes were diseases related, medications related, or environment and other risks co--related. After adjust therapy and psychological nursing, the rate of sedation was 19.7%. So identifying the etiology of delirium is the most important thing in the management of delirium in ICU. Both prevention and treatment should focus on the minimization and/or elimination of predisposing and precipitat- ing factors.