Multipl travmalı hastada postoperatif gelişen deliryum

Deliryum hızlı başlangıçlı, dalgalı seyir gösteren, çok farklı nedenlerden dolayı ortaya çıkan, bilinç, algılama, düşünce, uyku-uyanıklık döngüsü değişimlerinin eşlik ettiği klinik sendromdur. Deliryum semptom ve bulgularının, klinik tiplerinin, klinik seyrinin çok çeşitlilik göstermesi, risk faktörleri ve neden olan faktörlerin çok fazla olması gibi nedenlerle oldukça karmaşık bir hastalık olmasına rağmen genellikle geri dönüşümlüdür. Bu nedenle deliryum da erken tanı ve tedavi çok önemlidir. Postopertif deliryum yaygın bir sendromdur. Özellikle tanı konulamadığı ve tedavi edilemediğinde hastanede yatış süresinde uzama, işlevsellikte bozulma, mortalite ve morbidite oranında artışa neden olmaktadır. Bu çalışmada karaciğer travması nedeni ile opere edilen hastada postoperatif dönemde gelişen deliryum literatür öncülüğünde değerlendirildi.

Delirium seen in postoperative period of multiple trauma patient

Delirium is a rapid-onset disorder with a fluctuating course and a wide range of underlying causes. It is a commomly characterized by altered mental status, disturbance of consciousness and cognition, as well as disruptions in sleep-wake cycle. Although delirium is a relatively complicated condition due to the variability of its symptoms and findings, clinical types types, clinical progress and the multitude of its causes and risk factors. It is generally reversible. Accurate identification of underlying causes and risk factor is therefore essential in early-stage diagnosis and positive treatment outcomes in delirium cases. İn this study delirium occured in a postoperativ periyod in a patient with liver travma is examinied in conjunction with the current literature.

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Ege Tıp Dergisi-Cover
  • ISSN: 1016-9113
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1962
  • Yayıncı: Ersin HACIOĞLU