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; 震颤谵妄

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目的：观察慢性酒精中毒所致震颤谵妄的临床特点及预后。方法：对32例慢性酒精中毒所致震颤谵妄患者的临床资料进行回顾性分析，探讨其临床特点及预后。结果：32例患者中，因应激方式不当饮酒者19例，平均饮酒年龄20.3±9.6年，平均每日摄入乙醇量276.4±21.9 g。因戒断而出现临床症状者15例。临床表现为多种精神症状和不同程度的意识障碍，伴有肢体震颤。头部CT扫描发现脑萎缩者30例。经治疗后症状痊愈者25人，好转者4人。结论：慢性酒精中毒所致震颤谵妄发作的病理生理机制尚不明了，但其发作与戒断关系密切，经积极干预可获得较满意的预后。

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]沈渔.精神病学[M].第4版.北京：人民卫生出版社.2005:351-363.
5. [7]王祖承，徐鹤定，徐筠,等.酒依赖相关精神障碍患者的脑干听觉反应及P300异常变化[J].中华精神科杂志,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]王继红，白培深，李爱萍，等.对《中国精神障碍分类与诊断标准第三版》酒精所致震颤谵妄诊断编码的商榷[J].中华精神科杂志,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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