Clinical Study of 32 Cases of the Episode of Chronic Alcoholism-induced Tremens_West China Medical Journal

Authors：

YANG Yong

Mental Health Center of the 2nd Neijiang People ’s Hospital,Sichuan Neijiang 641000,China;

Corresponding?author：

Keywords：

慢性酒精中毒; 震顫譫妄

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目的：觀察慢性酒精中毒所致震顫譫妄的臨床特點及預后。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后。結果：32例患者中，因應激方式不當飲酒者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。因戒斷而出現臨床癥狀者15例。臨床表現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掃描發現腦萎縮者30例。經治療后癥狀痊愈者25人，好轉者4人。結論：慢性酒精中毒所致震顫譫妄發作的病理生理機制尚不明了，但其發作與戒斷關系密切，經積極干預可獲得較滿意的預后。

Citation： YANG Yong. Clinical Study of 32 Cases of the Episode of Chronic Alcoholism-induced Tremens. West China Medical Journal, 2008, 23(1): 69-70. doi: Copy

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1. [3]Griffin RE,Gross GA,Teitelbaum HS.Delirium tremens:a review[J].Journal of the American Osteopathic Association,1993,93 (9):924.
2. [4]Nordstrom G,BerglundM.Delirium tremens:a p rospective long-term follow up study[J].J Stud Alcohol,1988,49(2):178.
3. [5]Dittmar G.Alcohol delirium:pathogenesis and therapy[J].Medizinische Klinik.1991,86 (12):60.
4. [6]沈漁.精神病學[M].第4版.北京：人民衛生出版社.2005:351-363.
5. [7]王祖承，徐鶴定，徐筠,等.酒依賴相關精神障礙患者的腦干聽覺反應及P300異常變化[J].中華精神科雜志,2002,35(4):231-32.
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. [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. [10]王繼紅，白培深，李愛萍，等.對《中國精神障礙分類與診斷標準第三版》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.
10. Seller EM,Kalant H.Alcohol intoxication and withdrawal[J].N Engl J MED,1976,294(4):757.
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.

West China Medical Journal

Clinical Study of 32 Cases of the Episode of Chronic Alcoholism-induced Tremens

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