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病例报告:震颤谵妄持续状态

Case Report: Prolonged Delirium Tremens.

作者信息

Tolaman Sevtap, Tunçel Rasim, Örs Barış, Haznedaroğlu Damla İşman

机构信息

Department of Mental Health and Diseases, Ege University Faculty of Medicine, İzmir, Türkiye.

Department of Neurology, Ege University Faculty of Medicine, İzmir, Türkiye.

出版信息

Noro Psikiyatr Ars. 2025 Aug 13;62(3):290-292. doi: 10.29399/npa.28896. eCollection 2025.

Abstract

Delirium tremens represents the most severe condition of alcohol withdrawal, with the associated highest mortality rate. The primary treatment for cases of delirium tremens consists of benzodiazepines. Within the literature, prolonged cases of delirium tremens have been identified that do not respond to high-dose benzodiazepine treatments or respond late. Different treatment modalities, such as propofol, dexmedetomidine, and parenteral antipsychotic administrations, are being attempted in the management of these cases. In this case, a case of prolonged delirium tremens with insufficient response to benzodiazepine treatment will be presented.

摘要

震颤谵妄是酒精戒断最严重的情况,死亡率也最高。震颤谵妄病例的主要治疗方法是使用苯二氮䓬类药物。文献中已发现一些震颤谵妄的长期病例,对高剂量苯二氮䓬类药物治疗无反应或反应迟缓。目前正在尝试用不同的治疗方式,如丙泊酚、右美托咪定和胃肠外给予抗精神病药物来处理这些病例。本文将介绍一例对苯二氮䓬类药物治疗反应不足的长期震颤谵妄病例。

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Case Report: Prolonged Delirium Tremens.病例报告:震颤谵妄持续状态
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本文引用的文献

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Twenty-Eight-Day-Long Delirium Tremens.长达28天的震颤谵妄
J Investig Med High Impact Case Rep. 2019 Jan-Dec;7:2324709619847228. doi: 10.1177/2324709619847228.
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Alcohol withdrawal delirium - diagnosis, course and treatment.酒精戒断谵妄——诊断、病程及治疗
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2015 Mar;159(1):44-52. doi: 10.5507/bp.2013.089. Epub 2013 Dec 11.
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A case of prolonged delirium tremens.一例持续性震颤谵妄。
Singapore Med J. 2013 Aug;54(8):e152-3. doi: 10.11622/smedj.2013113.

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