精神病有什么分类
三甲 山东省立医院 皮肤科
慢性酒精中毒的神经损伤怎么治疗
慢性酒精中毒的神经损伤怎么治疗![](data:image/png;base64,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慢性酒精中毒造成神经损伤需要绝对戒酒、改善营养,大量补充B族维生素,并给予神经、肌肉营养药物治疗。
长期和大量饮用酒精往往对神经系统造成损害,可波及大脑皮层、小脑、脑桥和胼胝体,引起组织变性,导致不可逆的神经系统损害。可有震颤谵妄、韦尼克脑病和器质性遗忘综合征(Korsakoff综合征)、酒精性痴呆、渗透性脱髓鞘综合征等。
出现震颤谵妄可使用苯二氮䓬类及等药物控制症状,并需要维持水电解质平衡。小剂量抗精神病药物(氟哌啶醇)可以控制精神症状。韦尼克脑病和器质性遗忘综合征需要早期大量补充B族维生素和烟酸。有酒精性痴呆除应用B族维生素外,需要加用血管扩张药物、改善脑代谢药物、钙离子拮抗剂等,多奈哌齐、胞磷胆碱、谷氨酸、吡拉西坦等药物也有一定的治疗效果。
本内容由首都医科大学附属北京安贞医院 神经内科 主任医师 王薇审核
造成的原因有哪些
三甲 首都医科大学附属北京安贞医院 普外科
家有精神失常病人打乱全家生活
病情描述: 父亲65岁,以前酗酒,固执,去年夏天头部受伤开颅手术(去头盖骨部位在右侧眉毛上方3.5厘米见方)后身体机能回复不错,现后遗症是:讲话逻辑性不好,思维比较混乱,对以前经历的事有的忘了有的还记得清楚,但大部分都是比较清楚,现在一天一粒苯磺酸氨氯地平片,现在出现的问题:1:在家里呆不住,老想到外面乱走,2:老想找酒喝,3:家在农村,因为他手术前是开三轮车赚钱的,现在还天天想着开车,家人非常担心,以上可能都是心里层面的问题,有合适的治疗手段没有?还有他,以后血压会正常起来吗(以前没有高血压)?!所患疾病:外伤颅内出血(已上医院就诊)诊断结果:外伤导致颅内出现,7小时候后才送医,经开颅手术医治,恢复良好,有后遗症,
幻觉看到有老鼠在床上是不是患毛病,
三甲 北京大学医院 精神科