Pathological intoxication

Introduction Sick drunkenness, also known as Alcohol idiosyncratic intoxication, refers to the obvious behavioral and psychological changes that occur when drinking is not enough to cause drunkenness in the general population. Sudden agitation occurs during or after drinking. , impulsive, violent, and attack or vandalism can cause self-injury or injury. There are conscious disturbances during the attack, and illusions, hallucinations and illusions can also occur. The duration of the attack is not long, and most of the time, it usually ends with a deep sleep. After waking up, you can't recall the attack process.

Cause

Pathological drunkenness is extremely rare and may be related to the individual quality of the patient or the original brain damage such as traumatic sequelae, epilepsy, cerebral arteriosclerosis, etc., which cause the brain to be unable to tolerate alcohol.

an examination

Related inspection

Brain CT examination of brain ultrasound

Sudden agitation, impulsivity, anger, and attacks or vandalism during or after drinking may cause self-injury or injury. There are conscious disturbances during the attack, and illusions, hallucinations and illusions can also occur. The duration of the attack is not long, and most of the time, it usually ends with a deep sleep. After waking up, you can't recall the attack process. Diagnosing pathological drunkenness is consistent with the diagnostic criteria for alcoholism, but the amount of alcohol consumed by patients is much less than that of ordinary drunkenness. The treatment of pathological drunk is the same as the treatment of alcoholism. Can restrain the patient to prevent injury and self-injury. Patients should definitely ban alcohol in the future.

Differential diagnosis

Need to be identified with the following symptoms:

Physiological drunkenness: Physiological drunkenness is criminally responsible. This is because physiological drunkenness can be controlled. It is caused by a large amount of alcohol or alcoholic beverage, causing acute central nervous system excitability or inhibition.

Complexity of drunkenness: usually occurs on the basis of brain organic damage or severe brain dysfunction. Due to the decline in alcohol tolerance, the acute alcoholism reaction is generally not large, but 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 complex drunkenness is more intense than simple drunkenness. Patients with a history of drinking or a history of simple drunkenness generally have a history of brain organic diseases or physical diseases affecting alcohol metabolism such as epilepsy, cerebrovascular disease, and craniocerebral trauma. Encephalitis and liver disease.

Simple drunkenness: Also known as general drunkenness, it is an acute poisoning caused by a large amount of drinking. The severity of clinical symptoms is related to the patient's blood alcohol content and alcohol metabolism rate.

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