手术后幻觉或现实:患者能区分幻觉和现实吗?
Hideki Onishi1, Akira Kitamura2, Seika Oono2
1Department of Psycho-oncology, Saitama Medical University International Medical Center, Hidaka, JPN.
Cureus
|April 4, 2025
概括
手术后妄想会导致生动的幻觉,患者认为是真实的. 这一案例凸显了在重症监护室 (ICU) 识别这些强烈,不可分辨的幻觉的重要性.
科学领域:
- 医学科学 医学科学 医学科学
- 精神病学是一个精神病学.
- 密集护理医学 密集护理医学
背景情况:
- 手术后妄想是手术后的一种常见的精神疾病并发症.
- 妄想可以表现为幻觉,经常导致患者的痛苦.
- 区分幻觉和现实对患有妄想的患者来说可能是具有挑战性的.
研究的目的:
- 为了呈现一个术后妄想病例与生动的幻觉.
- 举例来说明一个病人的幻觉无法与现实区分的场景.
- 强调医疗保健专业人员需要认识到这种严重的幻觉体验.
主要方法:
- 一个年轻的女性患者的病例报告,她在手术后入住了ICU.
- 详细检查医疗记录以确认患者经历的性质.
- 临床观察患者对幻觉与现实的主观感知.
主要成果:
- 患者在ICU中经历了生动的幻觉,被认为是真实的.
- 尽管近视极度严重,但患者的清晰视力有助于识别这些经历是幻觉.
- 医疗记录分析证实,患者的经历确实是幻觉.
结论:
- 医疗保健专业人员必须意识到手术后妄想可能导致无法与现实区分的幻觉.
- 早期识别和管理这种严重的幻觉状态对于患者护理至关重要.
- 这个案例强调了在术后环境中生理变化,心理痛苦和感官知觉之间的复杂相互作用.
相关概念视频
Positive Symptoms Schizophrenia: Hallucinations and Delusions
37
Schizophrenia is a complex psychiatric disorder characterized by a range of symptoms that significantly impact cognition, behavior, and emotional regulation. Among these, the positive symptoms stand out as they involve the addition or exaggeration of normal mental functions, deviating markedly from typical behavior and perception. Hallucinations and delusions are prominent positive symptoms, each profoundly affecting the individual's experience of reality.
Hallucinations
Hallucinations in...
Hallucinations
Hallucinations in...
37
Altered States of Awareness
127
Altered states of consciousness represent significant deviations from one's normal mental state. These deviations can range from subtle changes in awareness to profound transformations in perception, thought processes, and sensory experiences. Altered states of consciousness can be triggered by various factors, including drug use, meditation, hypnosis, illness, or even intense fatigue.
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
127
Hallucinogens and Psychedelics
146
Hallucinogens are psychoactive substances that profoundly alter perceptual experiences, generating unreal visual and sensory images. Often referred to as psychedelic drugs — a term derived from the Greek words "psyche" (mind) and "delos" (revealing) — these substances include marijuana and lysergic acid diethylamide (LSD), among others. These drugs vary in intensity and effects.
Marijuana, derived from the dried leaves and flowers of the hemp plant, contains...
Marijuana, derived from the dried leaves and flowers of the hemp plant, contains...
146
Positive Symptoms of Schizophrenia: Hallucinations and Delusions
41
Schizophrenia is a complex mental health disorder that can manifest with various positive symptoms, including thought, movement, and behavior disorders. These symptoms significantly disrupt cognitive and motor functions, leading to profound effects on an individual's ability to engage with the world.
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
41
Stages of General Anesthesia
320
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
320
Psychosis and Antipsychotic Drugs: Overview
159
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
159


