Postoperative Psychosis Following Open-Heart Surgery / 中国医师杂志

ABSTRACT

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.