酒精中毒性幻觉症临床特征分析  

CLINICAL CHARACTERISTICS OF ALCOHOLIC HALLUCINOSIS

作　　者：方明昭[1] 孙艳慧 

机构地区：[1]北京医科大学精神卫生研究所,北京100083 [2]山东省烟台市心理康复医院,烟台265200

出　　处：《中国药物依赖性杂志》2000年第2期124-126,共3页Chinese Journal of Drug Dependence

摘　　要：了解酒精中毒性幻觉症的临床类型、特点及转归。方法·· :通过住院索引查出住院的酒依赖患者中符合CCMD -2 -R诊断标准的酒精中毒性幻觉症者 ,按斋藤学分类标准分成原始性幻觉症型、急性幻觉症型、慢性幻觉症型和症状性幻觉症型。结果··:慢性酒精中毒引起的幻觉症占同期住院酒依赖患者的25.78 % ,原始性幻觉症型占幻觉症的12.12 %(4例) ,急性幻觉症型占69.70%(23例) ,慢性幻觉症型及症状性幻觉症型各占9.09 %(各3例)。原始性幻觉症型与急性幻觉症型多在断酒或减少酒量后发生 ,持续时间短暂 ,而慢性型及症状型幻觉症型多持续3个月以上。结论··:原始性幻觉症型及急性幻觉症型可作为酒精戒断症状之一 ,慢性酒精幻觉症应鉴别器质性幻觉还是精神病性 ,症状性幻觉症多考虑为精神分裂症的症状之一。Objective: To study the clinical types,features and consequences of alcoholic hallucinosis.Method:The sample subjects diagnosed as alcoholic hallucinosis according to the CCMD-Ⅱ-R criteria were selected through the inpatient index of alcohol dependence,and classified into four types with classification criteria developed by Satoru Saito,including primary hallucinosis,acute hallucinosis,chronic hallucinosis and symptomatic hallucination.Result: About 25.78% of alcoholic inpatients developed alcoholic hallucinosis.Among 33 cases of alcoholic hallucinosis,there were 4 with primary hallucinosis (12.12%),23 with acute hallucinosis(69.70%),3 with chronic hallucinosis (9.09%) and 3 with symptomatic hallucinosis (9.09%).Primary and acute hallucinosis often developed in case of withdrawing or decreasing the consumption of alcohol.The duration was relatively shorter than that of chronic or symptomatic hallucinosis.The latter often lasted over three months. Conclusion: Primary and acute hallucinosis must be thought as one of the symptoms of alcohol withdrawal syndrome.Chronic hallucinosis must be followed up to differentiate the organic causes with psychotic causes.Symptomatic hallucinosis is mostly considered as one of the symptoms of schizophrenia.

关 键 词：慢性酒精中毒 中毒性幻觉症 治疗 

分 类 号：R595.6[医药卫生—内科学]