体外循环心脏直视手术后精神障碍(附38例报告)

目的 探讨心脏术后精神障碍发生的影响因素、机制及防治措施。方法 统计1995～2001年期间4106例体外循环心脏直视手术患者，回顾分析其中出现精神障碍38例患者的临床资料和由精神专科医生做出的诊疗方案。结果 全组死亡4例，其中因精神障碍死亡l例。患者多为成人，术前心功能差者易发生精神障碍。结论 心脏术后精神障碍的发生是包括生理机能、环境、心理因素在内的多种因素共同作用的结果，应采取综合防治措施。

Postoperative Psychosis Following Open-Heart Surgery

Objective To study the etiology, pathogenesis, prophylaxis and management measures for psychosis after open-heart surgery.Methods Four thousand one hundred and six cases of patients with open-heart surgery were observed. The patients with psychosis complications were diagnosed and treated by psychiatrist.Results Thirty-eight cases of the patients had psychosis complications,the incidence of which was 0 93%. Most of the patients with postcardiotomy psychosis were adults. The symptoms of postcardiotomy psychosis were manic state, compression state, schizophrenia-like state and neurosis reaction. The prognosis of the patients was good.Conclusion Postcardiotomy psychosis may be viewed as having a multivariant etiology encompassing physiologic factors, environmental factors and psychological factors. Comprehensive prevention measures should be taken.