Marotta F, Hada R, Morello P, Ragno F, Ono K
Keio J Med. 1989 Mar;38(1):53-9. doi: 10.2302/kjm.38.53.
Pneumonia and cardiac arrhythmias represent the most common life-threatening complications during delirium tremens. Electrolyte abnormalities are common underlying conditions in chronic alcoholics and they may further complicate the management of patients with alcohol-withdrawal syndrome or with delirium tremens. The authors present two cases in which the clinical picture of severe paralytic ileus complicating delirium tremens was closely associated with electrolyte status and postulate that the two were cause-effect related. A careful electrolyte supplement therapy guided by a strict monitoring of electrolyte balance and renal function proved to be particularly useful in successful management.
肺炎和心律失常是震颤谵妄期间最常见的危及生命的并发症。电解质异常是慢性酒精中毒患者常见的潜在病症，它们可能使酒精戒断综合征或震颤谵妄患者的治疗进一步复杂化。作者介绍了两例严重麻痹性肠梗阻并发震颤谵妄的病例，其临床表现与电解质状态密切相关，并推测两者存在因果关系。事实证明，在严格监测电解质平衡和肾功能的指导下进行仔细的电解质补充治疗，对成功治疗特别有用。
