紧急程度低
--
这是临床情况,当长期和大量饮酒停止时出现,无论是由于无法获得酒精而自愿或非自愿停止。
突然中断导致神经系统过度活跃。
轻微症状包括心动过速,手震颤,失眠,焦虑等。最严重的形式是震颤性谵妄,在高达5%的病例中可能致命。在谵妄中,有躁动,幻觉,加速呼吸甚至抽搐或心律失常。
诊断是通过临床病史进行的,并排除导致类似症状的其他疾病。
治疗是对症和苯二氮卓类药物(抗焦虑药)。
- Robert S Hoffman, MD.Management of moderate and severe alcohol withdrawal syndromesUpToDate, Noviembre, 2015.
- Hecksel KA. Inappropriate use of symptom-triggered therapy for alcohol withdrawal in the general hospital. Mayo Clin Proc 2008; 83:274.
- Cassidy EM. Symptom-triggered benzodiazepine therapy for alcohol withdrawal syndrome in the emergency department: a comparison with the standard fixed dose benzodiazepine regimen. Emerg Med J 2012; 29:802.
- Hack JB. Resistant alcohol withdrawal: does an unexpectedly large sedative requirement identify these patients early? J Med Toxicol 2006; 2:55.
- Marc A. Schuckit. Alcohol y alcoholismo. Harrison. Principios de Medicina Interna, 19e. Capítulo 467.
医生 Patricia Sánchez
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