慢性酒精中毒神经系统损害分析  

CLINICAL ANALYSIS ON CHRONIC ALCOHOLIC NERVOUS SYSTEM DAMAGE

作　　者：高霞[1] 

机构地区：[1]达州市中心医院神经内科,达州635000

出　　处：《现代预防医学》2007年第20期3847-3847,3852,共2页Modern Preventive Medicine

摘　　要：[目的]探讨慢性酒精中毒的临床表现类型、诊断与治疗。[方法]对48例慢性酒精中毒神经系统损害病人的临床表现、诊断与治疗效果进行分析。[结果]慢性酒精中毒性神经系统损害多发生于饮用高度白酒半年以上,酒量﹥250 ml/d者。其中大脑损害者居首位,继发小脑变性者次之,周围神经损害发生率较低。[结论]戒酒与早期诊治是治疗关键。有长期饮高度酒史,不能以其他疾病解释的精神症状,特别人格改变应考虑慢性酒精中毒性神经损害诊断。[Objective] To explore the types of clinical manifestation, diagnosis and treatment of chronic alcoholic nervous system damage （CANSD）. [ Methods] The clinical manifestations, diagnostic and treatntent materials of 48 cases of CANSD were analyzed. [ Results] The persons who had drunk the wine of high purity more than 6 months and more than 250rid per day more frequently suffered from CANSD. There were 25 cases of cerebral damage in total, accounting for 52.08%, 101 cases of cerebellar degeneration, accounting for 22.92% ; and 8 cases of peripheral nervous damage, accounting for 16.67% ; as well as 4 cases of mixed type, amounting to 8.33%. The incidence rate of cerebral damage was higher than other locations. [Conclusions] Alcohol withdrawal and early diagnose and treatment are the key points of CANSD treatment. The diagnosis of CANSD should be considered when a person has long-term history of drinking and the psychiatric symptoms which cannot be explained by other diseases, especially the personality change.

关 键 词：慢性酒精中毒性神经损害 临床分析 

分 类 号：R595.6[医药卫生—内科学]