报纸上又有一篇文章说：“患震颤性谵妄的吐温，昨晚本打算在独立派群众大会上发表讲话，却没来！”
Another newspaper article: DELIRIUM TREMENS TWAIN—Mark Twain, who was to make a speech at the mass meeting of the Independents last night, didn't come to time!
目的：探讨谵妄的病因和临床特点。
Objective: To study the etiology and clinical manifestations of delirium.
术后谵妄的发生率为36%。
目的探讨全麻人工流产术后出现苏醒谵妄的原因及护理。
Objective To discuss nursing and reason for awake delirium after artificial abortion with general anesthesia.
目的分析老年痴呆患者新发生脑梗死所致谵妄的临床特征。
Objective To investigate the characteristics of delirium after cerebral infarction in elderly demented patients.
方法回顾性总结13例全麻人工流产术后出现苏醒谵妄的临床资料及护理措施。
Methods To summarize retrospectively the nursing procedures and clinical information of 13 cases for appearing awake delirium after artificial abortion with general anesthesia.
研究设计：回顾性调查退行性腰椎疾病患者脊柱手术后谵妄的发生率和危险因素。
Study Design. The incidence and risk factors of postoperative delirium were retrospectively examined in patients who had spine surgery for degenerative lumbar disease.
布赖特·巴特博士训练工作人员尊重家属的观念，并帮助他们了解谵妄的复杂性。
Breitbart trains staff to respect the families' beliefs and help them understand the complexities of delirium.
目的：本研究的目的是调查脊柱手术后出现谵妄的发生率、手术前后的危险因素及临床结果。
Objective. The aim of this study is to examine the incidence, pre - and postoperative risk factors and clinical results of postoperative delirium after spine surgery.
研究显示在急诊诊断谵妄的人群仅占到患者比例的11%-46%，这意味着超过半数的被漏诊。
Studies show that the diagnosis of delirium is made in the ED in only 11-46% of patients, which means that more than half go undiagnosed.
结论：脑血管病史、术后第1天的低血红蛋白和红细胞压积、营养状态差是术后谵妄的危险因素。
Conclusion. History of cerebral vascular disease, low hemoglobin and hematocrit levels at 1 day after surgery, and bad nutritional status were risk factors for delirium.
因此，对于阿片和/或其他镇静药物的治疗中，给药治疗时间较长（如数天）的患者，为了减少戒断谵妄的危险，应花数天时间逐渐减量停药。
Opioids and/or sedatives administered for prolonged periods (i. e. , days) should be weaned over several days in order to reduce the risk of drug withdrawal.
护士应在入院后立即评估患者有无发生谵妄的高危因素，加强患者意识状态的评估，尤其加强18：00 - 22：00时段内的护理干预。
Nurses should inspect the high risk factors of AMI patients immediately after admission and strengthen psychological assessment and nursing intervention from 18:00 to 22:00 for AMI patients.
结果13例苏醒谵妄的受术者经过对症处理后，符合门诊麻醉离院标准后允许出院。结论术前注意筛查高危人群，避免诱因可降低苏醒谵妄的发生率。
Results 13 patients who have awake delirium get expectant treatment, they are permitted to leave hospital when they reach the outpatient anesthesia standard of leaving hospital.
本文综述了右旋美托咪啶的药理学、药物代谢动力学及其在重症监护病室中的临床应用，包括对谵妄的防治、药物本身的安全性和其特殊的可唤醒镇静效应。
This article reviewed the pharmacology, pharmacokinetics and its application in ICU, including its application in prevention and control of delirium, drug safety and its arousal sedation effects.
但那让人不断直面世界的紧张之感，以及催促他接受一切、井然有序的种种谵妄，这些只会让他再次狂热。
But the constant tension that keeps man face to face with the world, the ordered delirium that urges him to be receptive to everything leave him another fever.
类似流感的症状随后出现，例如腹泻、发热、谵妄、头晕，感到虚弱，同时自我感觉很不好。
Flu-like symptoms develop, eg diarrhea, nausea, fever, confusion, dizziness, weakness, and generally feeling bad.
过长的禁闭可能引发强迫行为或谵妄。
Extended solitary confinement is likely to induce either obsessive behavior or delirium.
背景：谵妄是由于各种原因引起的急性脑器质性综合征，多见于老年病人。
BACKGROUND: Delirium is an acute organic brain syndrome caused by various reasons, and it is common in elderly patients.
但水牛城临终关怀中心的研究人员表示，虽然参与研究的患者时不时地陷入谵妄，但依据定义来看，临终的梦境并非这种状态的产物。
But the Hospice Buffalo researchers say that while some study patients slipped in and out of delirium, their end-of-life dreams were not, by definition, the product of such a state.
结论奥氮平能有效控制脑外伤后急性谵妄综合征，同时不影响病人意识的观察，起效快、安全性高。
Conclusion Olanzapine can effectively control acute delirium after brain trauma with a high efficiency and safety, and has no affect on the observation of patients.
我感觉我的生活是完全和别人隔开的，我像一个动物般思考，肤浅又谵妄，只有些破碎的脑内影像。
I felt that my life was completely isolated from the rest of the world. And I was thinking like an animal, shallow and delirious, with only fractional images in my mind.
这些药物应谨慎使用于中风后有持续性忧郁症状的病患，因为对于其风险所知甚少，特别是癫痫发作、跌倒和谵妄。
These drugs should be used with caution in people with persistent depressive symptoms after stroke, as little is known about the risks, especially of seizures, falls, and delirium.
谵妄长期以来被看作是老年急诊患者的常见症状(65岁以上的患者中比例高达20%以上)。但是我们在发现这类患者的过程中做的如何呢？
Delirium has long been recognized as a common disorder of the geriatric Ed population (seen in up to 20% of patients above the age of 65 years), but how good are we at detecting it?
正因老年患者术后谵妄令人关注，在处理有谵妄危险因素的老年患者时必须要仔细观察。
As it is of great concern in older patients, careful observation is necessary for the management of patients with risk factors for delirium.
老年和器质性脑疾病的主要危险因素谵妄老人。
Old age and organic brain disorder are major risk factors for delirium in the elderly.
老年和器质性脑疾病的主要危险因素谵妄老人。
Old age and organic brain disorder are major risk factors for delirium in the elderly.
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