慢性酒精中毒神经系统损害的临床分析

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43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>250ml/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。

Clinical analysis of 43 cases of chronic alcoholic nervous system damage

Objective To explore the types of clinical manifestation,diagnosis and treatment of the chronic alcoholic nervous system damage (CANSD) .Methods The clinical manifestations .diagnostic and treatment materials of 43 cases of CANSD were analyzed. Results CANSD fre-quently occurs in the persons who have drunk the wine of high purity more than 6 months and more than 250ml per day. There were 23 cases of cerebral damage in total, taking 53.49 % , 10 cases of cerebellar damage taking 23.25 % ; 7 cases of peripheral nervous damage taking 16.27 % ;3cases of mixed type, taking 7% . The incidence of cerebral damage was higher than other location. Conclusion Withdrawal and taking treatment as earlier are the key point of treating CANSD. The diagnosis of CANSD should be considered when a person has the long history of drinking and the psychological symptoms, which cannot be explain by other disease, especially the change of character.