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酒精性谵妄的预后(作者译)

[Prognosis of alcoholic delirium (author's transl)].

作者信息

Seyfeddinipur N

出版信息

Dtsch Med Wochenschr. 1979 Aug 24;104(34):1195-9. doi: 10.1055/s-0028-1129069.

Abstract

296 cases of delirium tremens treated in 1958-69 were analysed retrospectively. Forty-one patients died in delirium or shortly thereafter. In 72 by now dead patients cirrhosis of the liver was the most common cause of death. Of 68 patients re-examinated, 12 were now teetotallers and six had markedly reduced there intake. Fifty patients had continued drinking and most of them had signs of liver failure, one had hypertension and one also had a polyneuropathy. Those who were abstaining, as well as the patients with a favourable course,and most of them were married. Although the acute death-rate of delirium has been markedly reduced since the introduction of clomethiazole treatment, it remains high after discharge. In almost half of those who were still drinking there had been a slide downwards in their social status. Delirium tremens is almost always precipitated by alcohol withdrawal.

摘要

对1958年至1969年期间收治的296例震颤谵妄患者进行了回顾性分析。41例患者在谵妄期间或之后不久死亡。在现已死亡的72例患者中,肝硬化是最常见的死因。在68例接受复查的患者中,12例现已戒酒,6例饮酒量明显减少。50例患者继续饮酒,其中大多数有肝功能衰竭的体征,1例有高血压,1例还有多发性神经病。那些戒酒的患者,以及病情好转的患者,大多数都已婚。尽管自从使用氯美噻唑治疗以来,震颤谵妄的急性死亡率已显著降低,但出院后死亡率仍然很高。在仍在饮酒的患者中,近一半人的社会地位有所下降。震颤谵妄几乎总是由戒酒引发的。

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