目的探讨腹部外科术后谵妄的预防与治疗。方法回顾性分析2012年5月-2015年5月在医院行腹部外科手术术后并发谵妄的12例患者的临床资料。结果经及时诊断与积极干预,12例患者术后谵妄症状均于治疗后3~5 d逐渐消失,神志逐渐转清,情绪恢复稳定,出院后随访3个月未见谵妄复发。结论加强围术期管理,正确评估患者的心理状态,做到及时发现与相应处理,腹部外科术后并发谵妄多数可取得良好的治疗效果。 Objective To investigate the prevention and treatment of delirium after abdominal surgery. Methods The clinical data of 12 patients with congenital delirium after abdominal surgery in our hospital from May 2012 to May 2015 were retrospectively analyzed. Results After timely diagnosis and positive intervention, the symptoms of delirium in 12 patients disappeared gradually 3 to 5 days after treatment, consciousness gradually turned clear, emotional recovery was stable, and no recurrence was found in 3 months after discharge. CONCLUSIONS: Perioperative management should be strengthened and the psychological status of patients should be properly assessed. Therefore, timely detection and treatment of most patients with delirium after abdominal surgery can achieve good results.