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Yıl:1995; Cilt: 32; Sayı: 1>> Özet
Nöropsikiyatri Arşivi; 1995;32(1):32-36
Konsültasyon-Liyezon Psikiyatrisi Yönünden Psikiyatri Dışı Kliniklerde Değerlendirilen Deliryum Olguları
I Baral, M Enderer, Ş Gök, S Özkan
İstanbul Tıp Fakültesi Psikiyatri ABD
Çalışmamızda Ocak 1990-Ekim 1994 tarihleri arasında İstanbul Tıp Fakültesi Psikiyatri Anabilim Dalı Konsültasyon Liyezon Psikiyatrisi Birimince hastanede yatarken konsültasyon istenmesi sonucu değerlendirilen 2000 olgu incelenmiş, deliryum tanısı konulan 164 olgu çalışmaya alınmıştır.
Bu döküm çalışmasında amacımız; deliryum tablosunun tanınması ve psikiyatrik konsültasyon istenen ve deliryum tanısı konulan olguların, fakültemiz kliniklerindeki dağılımı ve özelliklerini belirtmektir. Hasta kayıtlarından her olgu için önceden hazırlanan biopsikososyal değerlendirme çizelgelerine uygun bilgiler derlenmiştir. Tüm konsültasyon istemlerinin % 8.5'unda deliryum tanısına varılmıştır.
En çok iç hastalıkları servisi {% 45.5), en az da reanimasyon servisinden (% 5.2) konsültasyon istenmiştir. En sık tespit edilen etyolojik neden metabolik bozukluklardır (% 46.9). Deliryumda, psikiyatrik işbirliği, erken teşhis, etyolojik tanıya yönelik araştırma ve tedavi hayat kurtarıcı olacaktır.
The Delirium Cases Evaluated In The Non-Psychiatric Clinics
2000 consulted patients in Consultation Liason Psychiatry Department, Istanbul Faculty of Medicine, during January 1990-October 1994 were evaluated and 164 cases that were diagnosed as delirium were taken into our study. The aim of this study was to recognise delirium; and to define the necessity of requesting psychiatric consultation. Moreover to determine the characteristics and the distribution of delirium cases into the departments of the faculty. The data from the patients registrations were evaluated. 8.5 % of the all consultations were diagnosed as delirium. The most frequent requested from internal medicine department (45.5 %) and the least from reanimation department (5.2 %). The most frequent aetiological reason was metabolical disregulation. Psychiatric collaboration, the early diagnoses, and to identifing aetiology, and to treat appropriately will be life saving.

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