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[震颤谵妄后的精神障碍]

[Mental disorders following delirium tremens].

作者信息

Sivolap Iu P, Damulin I V, Mendelevich S V, Savchenkov V A, Ianushkevich M V

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2011;111(11 Pt 2):28-9.

Abstract

Twenty-four patients, aged between 29-62 years (average age - 44+/-11 years), at the post-psychosis period of delirium tremens were observed. In 19 patients, this period was characterized by a triad of mental disorders including cognitive dysfunction, affective disturbances and alcohol anosognosia. Memantine was recommended for all patients with mental disorders. These disorders are reduced during 11-28 (in average - 18+/-4) days after the recovery of psychosis. The hypothesis on the close relationship of three types of described disorsers with mild forms of Korsakoff disease and the expediency of memantine therapy after the delirium tremens was expressed.

摘要

观察了24例年龄在29至62岁之间(平均年龄44±11岁)处于震颤谵妄后精神病期的患者。19例患者在此期间的特征为包括认知功能障碍、情感障碍和酒精性疾病感缺失在内的三联征精神障碍。对所有患有精神障碍的患者均推荐使用美金刚。这些障碍在精神病恢复后的11至28天(平均18±4天)内减轻。提出了关于所描述的三种类型障碍与轻度柯萨科夫病密切相关的假说,以及震颤谵妄后使用美金刚治疗的适宜性。

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