本章前次链接第二十章第3次
第二十章——PACU（26-34）
吕赵宇
26.Whatpercentageofpatientsovertheageof50whoundergoelectivesurgerywillexperiencepostoperativedeliriumwithinthefirst5daysfollowingtheirsurgicalprocedure?
50岁以上的患者在接受择期手术后5天内会出现术后谵妄的比例是多少
A.1%
B.5%
C.10%
D.25%
答案与解析：C.
Approximately10%ofadultpatientsolderthan50yearswhoundergoelectivesurgerywilldeveloppostoperativedeliriumwithinthefirstfivepostoperativedays.
50岁以上接受择期手术的成人患者大约有10%会在术后5天内出现谵妄。
27.Whichofthefollowingintraoperativefactorsispredictiveofpostoperativedelirium?
下列哪项术中因素可预测术后谵妄
A.Bloodloss
B.Anesthetictechnique
C.Intraoperativehypotension
D.Intraoperativehypertension
答案与解析：A.
Intraoperativefactorsthatarepredictiveofpostoperativedeliriumincludesurgicalbloodloss,thenumberofintraoperativebloodtransfusions,andhematocritlessthan30%.Intraoperativehemodynamicderangementsandtheanesthetictechniquedonotseemtobepredictorsofpostoperativedelirium.
术中预测术后谵妄的因素包括手术失血量、术中输血量、红细胞压积小于30%。术中血流动力学紊乱和麻醉技术似乎不是术后谵妄的预测因素。
28.Eachofthefollowingincreasestheriskofpostoperativedelirium,except
以下哪种情况不会增加术后谵妄的风险
A.Advancedage
B.Preexistingcognitiveimpairment
C.Alcoholabuse
D.Chronicpain
答案与解析：D.
Manyadultpatientsatriskforpostoperativedeliriumcanbeidentifiedpreoperatively.Themostsignificantpreoperativeriskfactorsinclude(1)advancedage,(2)preoperativecognitiveimpairment,(3)decreasedfunctionalstatus,(4)alcoholabuse,and(5)aprevioushistoryofdelirium.Chronicpainisnotariskfactorforpostoperativedelirium.
许多有术后谵妄风险的成年患者可以在术前进行鉴别。最显著的术前危险因素包括（1）高龄，（2）术前认知障碍，（3）功能状态下降，（4）酗酒，以及（5）有谵妄病史。慢性疼痛不是术后谵妄的危险因素。
29.Whichofthefollowingstatementsregardingemergenceexcitementismostcorrect?
以下关于苏醒兴奋的说法哪项是最正确的
A.Itismost
转载请注明：http://www.jiaolvz.com/skjj/4915.html
