Alcoholism paranoid state

Introduction Patients with alcoholic hyperactivity are suspicion of their spouses, often expressed as delusions, and can also be seen as murderous delusions. Some people think that this type of case is chronic schizophrenia, just a coincidence with chronic alcoholism. Long-term heavy drinking can lead to degeneration of the cerebral cortex, cerebellum, pons, and corpus callosum, liver, heart, endocrine gland damage, malnutrition, lack of enzymes and vitamins.

Cause

Alcohol is a neurotropic substance that has an inhibitory effect on the central nervous system. After drinking, there is a feeling of relaxation, warmth, elimination of tension, lack of relief and relief of discomfort or pain. A large amount of alcohol can cause drunkenness and is a common acute alcoholism. All kinds of alcohol can be relied on, but spirits with high alcohol concentration are more addictive. The dependence on alcohol is slower. The formation of chronic alcoholism usually has a history of long-term drinking for more than 10 years. Alcohol and sedative hypnotics can be cross-tolerant, and some alcohol dependent people may be associated with hypnotic sedatives.

an examination

Related inspection

Liver ultrasound examination of brain ultrasound

In terms of clinical manifestations, the most common early symptoms are acute tremors of the extremities and trunk. Patients can not sit still or hold the cup stably, are prone to excitement and startle, fear facing others, and often have nausea, vomiting and sweating. If you give alcohol, the above symptoms will quickly disappear, otherwise it will last for several days. Further development, there may be a temporary illusion of illusion, distortion of the object, unclear or screaming, followed by seizures. A tremor can be produced after 48 hours.

Differential diagnosis

It needs to be distinguished from the following symptoms:

Coma: Coma is the most serious disturbance of consciousness due to the high degree of inhibition of the cerebral cortex and subcortical reticular formation, that is, the continuous interruption or complete loss of consciousness, and the high inhibition of the highest level of neurological activity. Clinically, coma is divided into two types: shallow coma and deep coma.

Carbon monoxide poisoning: Carbon monoxide poisoning is a product in which the products containing incomplete combustion of carbonaceous materials are inhaled by the respiratory tract to cause poisoning. The mechanism of poisoning is that the affinity of carbon monoxide and hemoglobin is 200-300 times higher than that of oxygen and hemoglobin. Therefore, carbon monoxide is easily combined with hemoglobin to form carboxyhemoglobin, which causes hemoglobin to lose its ability to carry oxygen and cause tissue asphyxia. It has toxic effects on whole body tissue cells, especially on the cerebral cortex. When people realize that carbon monoxide poisoning has occurred, it is often too late. Because the cerebral cortex that controls the movement of the human body is the first to suffer from paralysis, it is impossible to achieve a purposeful voluntary movement. The hands and feet are not listening. Therefore, carbon monoxide poisoning people are often unable to carry out effective self-help.

Epilepsy and epileptic seizures: Epileptic seizures and epilepsy are characterized by a group of diseases and syndromes characterized by transient central nervous system dysfunction caused by recurrent abnormalities in the course of the disease. According to the range of neurons and the extent of discharge diffusion, dysfunction may manifest as different obstacles such as exercise, sensation, consciousness, behavior, autonomic nerve, or both. Each episode or each episode is called a seizure. The patient may have one or several painful epileptic seizures.

Hypoglycemia: also known as hypoglycemia, is a group of clinical syndrome caused by a low concentration of blood glucose (referred to as blood glucose) caused by a variety of causes. When the blood glucose concentration (plasma true sugar, the same below) is lower than 2.78 mmol / (50 mg / dl), it can be considered as hypoglycemia, but there is a large difference in clinical symptoms. When the blood sugar is too low, the damage to the body is mainly caused by the nervous system, mainly sympathetic nerve stimulation and brain dysfunction syndrome. Early treatment with glucose can be quickly relieved, otherwise it can cause irreversible damage to the brain and even life-threatening. The cause of hypoglycemia is complicated. In non-diabetics, the most common cause is unexplained functional hypoglycemia. Insulinoma is the most common cause of organic hypoglycemia. Other common causes are endocrine disease hypoglycemia. Hepatogenic hypoglycemia, etc., hereditary liver enzymes are more common in infants and young children, and rare in adults.

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