小儿术后谵妄与躁动到底怎么办呢？( 二 )

治疗
除了支持和预防伤害外，许多ED儿童不需要治疗。约95%的ED儿童在发病后20分钟内自行消失，无持续后遗症。
对于在恢复室出现躁动的儿童，应首先评估有无疼痛和潜在危险的躁动原因(即缺氧、低血压、高碳酸血症和低血糖) ，如果疼痛是诱因，适当采用镇痛药。
如果需要治疗，可使用镇静剂和阿片类药物。尚无对比这种情况下各种治疗的研究。一项针对加拿大麻醉科医师的调查显示，最常用于终止儿童ED的干预措施是丙泊酚(42%)、咪达唑仑(31%)、芬太尼(10%)、吗啡(7%)和右美托咪定(5%)[18] 。一旦ED发作缓解，无论是自发消退还是通过干预， ED复发都未见报道。

文章图片
（照片拍摄者：黄蕾蕾医生）
作者：张子银广州中医药大学第一附属医院
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