Drunk

Introduction Alcoholism is commonly referred to as drunkenness. Alcohol (ethanol) drinking a large amount of alcoholic beverages at one time will have an excitatory and post-inhibitory effect on the central nervous system. Severe poisoning can cause respiratory and heartbeat inhibition and death. Alcoholism is caused by many factors such as heredity, physical condition, psychology, environment and society, but it is quite different from the individual, and heredity is considered to be a key factor.

Cause

1. Alcoholism caused by a relatively different ability of people to adapt to ethanol.

2. High doses of alcohol (excessive drinking) cause the blood to contain more than humans.

3. High concentrations of ethanol intake result in temporary anesthesia of the respiratory center and the nerve center that controls the heartbeat, resulting in death due to inability to ingest oxygen or nutrients that are not delivered to the body.

an examination

Related inspection

Blood pressure electrocardiogram

History of drinking combined with clinical manifestations, such as central nervous system symptoms of acute alcoholism, exhaled alcohol, psychotic symptoms of withdrawal syndrome and seizures, malnutrition of chronic alcoholism and toxic encephalopathy, serum or exhaled breath The determination of ethanol concentration can make a diagnosis.

1. Ordinary drunkenness, also known as simple drunkenness or general drunkenness, is the state of acute alcoholism that occurs after drinking. The development of drunkenness depends on the concentration of alcohol in the blood. When the concentration of alcohol in the blood reaches 0.05%, it is slightly drunk, feeling comfortable, wonderful talk, and poetry attack, but the coordinated action of the eyes and fingers is affected; if drinking continues, the concentration of alcohol in the blood rises to 0.1. Above %, it is characterized by frivolous behavior, emotional instability, irritability, dissuasion, feeling slow, gait, which is a typical manifestation of acute alcoholism; when the concentration of alcohol in the blood rises above 0.2%, The usual suppressed desires and hidden grievances are vented, which are expressed as words that are not inferior, borrowed from the subject, act rudely, and cause trouble; if you continue to drink alcohol, the concentration of alcohol in the blood reaches 0.3% or more, which is characterized by ambiguity and vomiting. When the concentration of alcohol in the blood rises above 0.4%, there is general paralysis and coma; when the concentration of alcohol in the blood rises above 0.5%, it can be directly killed. Of course, not every drunkard's development process will be so step by step, the intensity of the symptoms depends on the individual's tolerance to alcohol.

2, pathological drunk is characterized by a small amount of drinking caused severe mental disorders. It mainly occurs in people who are very low in tolerance to alcohol. They often have a sudden or paralyzed state, extreme excitement, illusion hallucinations and victimized delusions, aggressive behaviors, nervous fears, and seizures after a small amount of alcohol consumption. The general episode lasts for several hours, or for a whole day, often ends with a deep sleep, and after waking up, it cannot be recalled.

3, complex drunkenness is usually brain damage, such as head injury, encephalitis, epilepsy, etc., or severe brain dysfunction, mental retardation, personality changes, etc., tolerance to alcohol is greatly reduced, due to heavy drinking Severe alcoholism. The complexity lies in the fact that in addition to the general drunkenness, the disturbance of consciousness is obvious, which is characterized by excitement, violent behavior, and even murder and destruction. The duration is often only a few hours. Afterwards, the episode has completely lost memory, or only sporadic memory.

Differential diagnosis

Need to be identified with the following symptoms:

Physiological drunkenness: Physiological drunkenness is criminally responsible 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.

Pathological drunkenness: pathological intoxication, characterized by a disproportionate degree of extreme excitement after a small amount of drinking, with the characteristics of attack and violence, and often have the concept of victimization. It lasts for a few hours and ends in sleep. Generally, there is complete forgetting of the seizure.

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.

Drinking history combined with clinical manifestations, such as central nervous system symptoms of acute alcoholism, exhaled alcohol; psychotic symptoms and seizures of withdrawal syndrome; malnutrition and toxic encephalopathy of chronic alcoholism, serum or exhaled breath The determination of ethanol concentration can make a diagnosis.

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