From January this year to the present, more than 1.29 million people have been diagnosed with the local epidemic. In addition to the symptoms such as sore throat, cough, nasal congestion, and runny nose that everyone often hears following the epidemic, there may also be “new crown delirium”. The study pointed out that some people diagnosed with delirium have symptoms of delirium due to brain damage.
COVID-19 Delirium: Lack of attention, confusion It can also happen to children
A few days ago, the authoritative international medical journal “Lancet” has reported that patients with new crowns who live in intensive care units for a long time and receive respirator treatment are at the greatest risk of delirium. And Huang Xuan, a thoracic and critical care specialist, also mentioned “COVID Delirium” on Facebook. He pointed out that a French study shows that 84% of many patients with severe new crown will have new crown delirium. The symptoms include: lack of attention, Confusion and ideology change. A British study also found that 31% of severely ill patients had delirium.
In addition, children can also develop new coronary delirium. In the United States, children under the age of 5 are most likely to develop delirium (70%) in severe cases. Researchers speculate that the brain development of young children may not be fully developed, resulting in severe vulnerability to the virus. destroy. There is also a big data analysis in the United Kingdom. The incidence of new coronary delirium in children is regarding 6%. As the age increases, the incidence rate also increases: the incidence rate of 16 to 65 years old has risen to 15%, and the incidence of over 65 years old has risen to 20%.
Delirium state has 3species, small children and the elderly are easily ignored
Huang Xuan explained that delirium is different because of the state of activity, which can be divided into the following three types:
1.Hyperactivity type (approximately25％）
This type of interference is the most severe. The patient will scream and move wildly, such as the delirium state that occurs when a lot of alcohol or some drugs are withdrawn. The patient often has fever, high blood pressure, fast heartbeat, tremor, and epilepsy, and even sees no symptoms. Hallucinations such as existence or deceased relatives and friends.
2.Low activity type (approximately50％）
This is the most common, but the most overlooked, especially in young children or the elderly.Most patients show decreased activity, abnormal fatigue, loss of appetite, shrink in the room, and are less responsive or talkative than usual. For example, some hepatic encephalopathy, or some electrolyte imbalances are caused.
3.mixed (approximately25％）
This is somewhere between hyperactivity and hypoactivity. Some severely ill patients are not very active and weak at first, and their family members are not aware of it. They think that children or elderly people who are lying down or sitting obediently are fine, but they often show up at the end, which also affects the prime time for medical treatment.
Huang Xuan reminded that delirium is also one of the manifestations of new coronary pneumonia, but the patient’s manifestations are not only delirium, but also cough, headache, runny nose, diarrhea, loss of appetite, loss of smell and taste, unexplained muscle pain, and altered consciousness. The answer to Changwen is not correct, the child has crying but no tears, shortness of breath, cold sweats, fever and other symptoms, if it can be detected early, it can be effectively treated.
“Health 2.0” reminds you
In response to the new crown pneumonia epidemic, the CDC has continued to strengthen epidemic monitoring and border control measures.If you have suspected symptoms, please call the 1922 hotline or 0800-001922and wear a mask as instructed to seek medical treatment as soon as possible, and at the same time, take the initiative to inform the doctor of travel history and contact history to facilitate timely diagnosis and notification.
◎ Image source/Provided by Dazhi Image/shutterstock
◎ Source/Dr. Huang Xuan
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