长期饮酒者出现意识障碍的病因学分析  

Etiology of Disturbance of Consciousness in Chronic Drinkers

作　　者：岳伟[1] 张丽[2] 安瑛[1] 寻琳婷[1] 赵雪茹[1] 范红[1] 

机构地区：[1]云南省第一人民医院消化科,云南省昆明市650032 [2]云南省第一人民医院干部保健科,云南省昆明市650032

出　　处：《中国全科医学》2012年第35期4105-4106,共2页Chinese General Practice

摘　　要：目的探讨长期饮酒者出现意识障碍的病因,以指导临床诊断和治疗。方法回顾性分析我院2008年1月—2012年6月收治的37例长期饮酒出现意识障碍患者的病因、治疗及转归。结果 37例长期饮酒者出现意识障碍的病因为:酒精戒断综合征10例、Wernicke脑病6例、酒精性低血糖8例、肝性脑病7例、低渗性脑病5例、胰源性脑病1例;患者均经对症处理或相应治疗后意识恢复正常或好转。结论因长期饮酒出现意识障碍的病因多种多样,临床医师在接诊此类患者时应拓展思路,切忌先入为主;应仔细询问患者病史及伴随症状,进行全面体格检查及早期实验室检查,明确患者病因,从而避免误诊或延误治疗。Objective To explore the etiological factors of disorder of consciousness in chronic drinkers to guide clini- cal diagnosis and treatment. Methods Clinical data of 37 chronic drinkers admitted to our hospital from January 2008 to June 2012 were analyzed retrospectively. Results 37 chronic drinkers＇ origins were alcohol withdrawal syndrome （ n = 10 ）, Wer- nicke encephalopathy （ n = 6）, alcoholic hypoglycemia （ n = 8 ）, hepatic encephalopathy （ n = 7 ）, hypotonic encephalopathy （ n = 5）, pancreatic encephalopathy （ n = 1 ）. Patients returned to normal or improved after symptomatic or appropriate treatment. Conclusion The etiologies of disturbance of consciousness due to long - term alcohol consumption are various. Clinical doctors should develop ideas and avoid ＂ First impression is strongest＂. Patients＇medical history and concomitant symptoms should be asked in detail, a comprehensive physical examination and early laboratory tests performed, and etiologies and diagnoses con- firmed to avoid misdiagnoses and delayed treatments.

关 键 词：意识障碍 戒酒性谵妄 韦尼克脑病 肝性脑病 误诊 

分 类 号：R749.62[医药卫生—神经病学与精神病学]