Holzbach E
Schweiz Arch Neurol Neurochir Psychiatr. 1982;130(1):77-87.
We could demonstrate by a non-selected group of 103 patients with delirium tremens in the course of a chronical abuse of alcohol that the delirium was preceded by an alcohol-withdrawal (either step or reduction of drinking or both of them). This had to be cleared up as in the last decades studies had been made mostly by means of a later looking over the medical records and as by incomplete data questions were left especially concerning the nosological demarcation of an "occasional delirium" and a "continual delirium". Starting from the observation at the "alcohol-withdrawal syndrome" we also watched both the reduction of the daily quantity of alcohol and the often short latency between the reduction of alcohol and the beginning of the delirium. When the delirium was preceded by psychotic events (to be conceived as alcohol-hallucination and alcohol-paranoia) it only came into existence after an abstinence of alcohol. The observations suggested that the delirium tremens with the typical psychotic symptoms and vegetative excitation principally is a delirium of alcohol-withdrawal and that other forms cannot be defined.
我们通过一组未经挑选的103例酒精慢性滥用所致震颤谵妄患者证实，谵妄之前存在酒精戒断（饮酒量骤减或减少或二者皆有）。这一点必须澄清，因为在过去几十年里，大多是通过回顾病历进行研究，且由于数据不完整，特别是在“偶发性谵妄”和“持续性谵妄”的疾病分类界定方面存在问题。从对“酒精戒断综合征”的观察出发，我们还留意了每日酒精摄入量的减少情况以及酒精摄入量减少与谵妄开始之间通常较短的潜伏期。当谵妄之前出现精神症状（可视为酒精性幻觉和酒精性偏执狂）时，只有在戒酒之后才会出现。这些观察结果表明，伴有典型精神症状和植物神经兴奋的震颤谵妄主要是一种酒精戒断性谵妄，无法定义其他形式。
