Complexity drunk

Introduction Complexity, drunkenness, usually occurs on the basis of brain organic damage or severe brain dysfunction. The alcohol consumption is generally small due to the decline of alcohol tolerance. However, the disturbance of consciousness is obvious, the course of disease is short, and the disease is often forgotten. . Complexity drunk is an intermediate state between simple drunkenness and pathological drunkenness, and is an "abnormality of quantity" compared with simple drunkenness. The whole process of complexity and drunkenness is more intense than simple drunkenness. Patients have a history of drinking or a history of simple drunkenness. They generally have a history of brain organic diseases or physical diseases that affect alcohol metabolism, such as epilepsy, cerebrovascular disease, and brain Trauma, encephalitis and liver disease.

Cause

The cause is a large amount of alcohol or alcoholic beverage, causing acute central nervous system excitability or inhibition.

an examination

Related inspection

Blood routine liver function examination, brain ultrasound examination, brain CT examination

Clinical manifestations:

Patients generally have a history of brain organic disease, or have physical diseases that affect alcohol metabolism, such as epilepsy, cerebrovascular disease, craniocerebral trauma, encephalitis, and liver disease. On this basis, the patient's sensitivity to alcohol is increased. After a small amount of alcohol consumption, an acute poisoning reaction occurs, and obvious disturbance of consciousness occurs. It is often accompanied by illusions, hallucinations of illusions, significant emotional excitement, irritability, and attacks. And the destruction behavior is more common. Such episodes usually last for hours, and after the remission, the patient is partially or completely forgotten.

Laboratory inspection:

1, blood biochemical examination.

2, brain function tests, etc.

Differential diagnosis

Differential diagnosis:

Acute alcoholism is divided into simple, complex and pathological drunkenness according to the nature and severity of psychopathology.

1. Complexity Drunken excitement is different from simple drunken euphoric psychomotor excitement. It is a serious sports excitement, irritability and impulsiveness on the background of unpleasant emotions, and more common retaliatory behavior. The patient is in a deep state of confusion and strong athletic excitement. He may have delusions and hurt people. Attacks and sabotage are common, and occasionally no purpose repeats or stereotypes. In the severe paralysis period, the mouth is unclear, the gait is paralyzed, and the excitement can be excitement due to environmental stimulation. There is a clear difference between the excitement and the disappearance of the simple drunkenness after entering the paralysis period. It can also be seen in extreme depression, frequent occurrences of crying or intense desperate anger, self-blame and sin, easy suicidal behavior, but different from simple drunkenness before committing suicide. The episode often lasts for several hours, and the patient is partially or completely forgotten after waking up.

2, pathological drunk is a psychiatric seizure caused by a small amount of drinking, most people do not have a poisoning reaction when drinking this amount, the patient is extremely low tolerance to alcohol, excessive fatigue or long-term severe insomnia can promote the occurrence of pathological drunkenness.

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