Vanchakova N P, Petrova N N
Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(2):91-4.
On the basis of the examination of 30 patients the authors have concluded that to improve the efficacy of the treatment of chronic relapsing painful pancreatitis combined with alcoholism, it is necessary that the diagnosis and treatment of alcoholism be included into the multiple-modality therapy of these patients during their stay in surgical hospitals. The prognosis of alcoholism development should be taken into account in selecting therapeutic policy for such patients. Thus, it is recommended that full-scale surgical intervention be performed in patients with a low risk of a relapse of alcoholism in the postoperative period. In conducting antialcoholic treatment preference should be given to psychopharmacotherapy and psychotherapy because of the gravity of the patients' somatic status.
在对30例患者进行检查的基础上，作者得出结论，为提高慢性复发性疼痛性胰腺炎合并酒精中毒的治疗效果，在这些患者住院手术期间，有必要将酒精中毒的诊断和治疗纳入其多模式治疗中。在为这类患者选择治疗策略时，应考虑酒精中毒发展的预后。因此，建议对术后酒精中毒复发风险低的患者进行全面的手术干预。由于患者身体状况严重，在进行戒酒治疗时，应优先选择心理药物治疗和心理治疗。
