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, 2008, 23(1): 69-70. doi: 復(fù)制
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