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1993～1997年间我院共收治20例因长期饮大量烈性酒而致脑损害之患者,给予心理疏导及大剂量维生素B族治疗,病情得到了改善,现结合文献,分析如下。 1.临床资料 20例均为男性。年龄30～60岁,平均40岁,港口工人。有饮酒史6～30年。日饮白酒量300～500ml。且多在空腹时。 临床表现 20例均有不同程度的性格改变,自私、懒散,工作能力差,不求进取。3例出现幻觉和妒嫉妄想。其中有2例禁酒一天后出现戒断综合征表现,如躁狂、骂人、毁物、翻墙奔跑等。体检:木僵状态1例,四肢肌萎缩1例,不自主震颤10例,肌强直1例,共济失调3例。
From 1993 to 1997, a total of 20 patients with brain damage caused by long-term drinking a large amount of spirits were treated in our hospital. Psychological counseling and high-dose vitamin B treatment were given to the patients and the condition was improved. Now, the literature is analyzed as follows. 1. Clinical data 20 cases were men. Aged 30 to 60 years old, average 40 years old, port workers. Have a history of drinking 6 to 30 years. Drink white wine on the amount of 300 ~ 500ml. And more in fasting. Clinical manifestations of 20 patients have varying degrees of personality change, selfish, lazy, poor working ability, do not forge ahead. 3 cases of hallucinations and jealous delusion. Among them, there are 2 cases of withdrawal syndrome appeared after a day of forbidding, such as manic, curse, ruin, wall running and so on. Physical examination: 1 case of stupor, 1 case of limb atrophy, 10 cases of involuntary tremor, 1 case of muscle rigidity, 3 cases of ataxia.