• 內(nèi)江市第二人民醫(yī)院精神衛(wèi)生中心，四川內(nèi)江 641000;

目的：觀察慢性酒精中毒所致震顫譫妄的臨床特點及預(yù)后。方法：對32例慢性酒精中毒所致震顫譫妄患者的臨床資料進行回顧性分析，探討其臨床特點及預(yù)后。結(jié)果：32例患者中，因應(yīng)激方式不當(dāng)飲酒者19例，平均飲酒年齡20.3±9.6年，平均每日攝入乙醇量276.4±21.9 g。因戒斷而出現(xiàn)臨床癥狀者15例。臨床表現(xiàn)為多種精神癥狀和不同程度的意識障礙，伴有肢體震顫。頭部CT掃描發(fā)現(xiàn)腦萎縮者30例。經(jīng)治療后癥狀痊愈者25人，好轉(zhuǎn)者4人。結(jié)論：慢性酒精中毒所致震顫譫妄發(fā)作的病理生理機制尚不明了，但其發(fā)作與戒斷關(guān)系密切，經(jīng)積極干預(yù)可獲得較滿意的預(yù)后。

引用本文： 楊 勇. 慢性酒精中毒所致震顫譫妄32例臨床分析. 華西醫(yī)學(xué), 2008, 23(1): 69-70. doi: 復(fù)制

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  2. 2. [4]Nordstrom G,BerglundM.Delirium tremens:a p rospective long-term follow up study[J].J Stud Alcohol,1988,49(2):178.
  3. 3. [5]Dittmar G.Alcohol delirium:pathogenesis and therapy[J].Medizinische Klinik.1991,86 (12):60.
  4. 4. [6]沈漁.精神病學(xué)[M].第4版.北京：人民衛(wèi)生出版社.2005:351-363.
  5. 5. [7]王祖承，徐鶴定，徐筠,等.酒依賴相關(guān)精神障礙患者的腦干聽覺反應(yīng)及P300異常變化[J].中華精神科雜志,2002,35(4):231-32.
  6. 6. [8]SchuckitMA,Tipp JE,Reich T,et al.The histories of withdrawal convulsions and delirium tremens in 1,648 alcohol dependent subjects[J].Addiction,1995,90(10):1335.
  7. 7. [9]KL Kraemer,MFMayo-Smith，DR Calkins.Impact of age on the severity,course and comp lications of alcohol withdrawal[J].Archives of Internal Medicine,1997,157(19):2234.
  8. 8. [10]王繼紅，白培深，李愛萍，等.對《中國精神障礙分類與診斷標(biāo)準(zhǔn)第三版》酒精所致震顫譫妄診斷編碼的商榷[J].中華精神科雜志,2003，36：126.
  9. 9.
  10. 10. Seller EM,Kalant H.Alcohol intoxication and withdrawal[J].N Engl J MED,1976,294(4):757.
  11. 11. Horstmann E,Conrad E,Daweke H.Severe course of delirium tremens:results of treatment and late p rognodid[J].Medizinische Klinik,1989,84(12):569.