最后审阅: 21 九月 2021
最后更新: 11 二月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 危险因素
  • 酒精依赖性
  • 停止或减少酒精摄入
  • 出现至少一种酒精戒断特征
  • 痫样发作
  • 震颤谵妄
  • 精神障碍
  • 粗大震颤
  • 高血压或低血压
  • 发热或低体温

其他诊断因素

  • 焦虑
  • 恶心和呕吐
  • 自主神经功能障碍
  • 失眠
  • 酒精渴求
  • 头痛
  • 厌食
  • 抑郁

危险因素

  • AWS 和震颤谵妄病史
  • 酒精突然戒断

诊断性检查

首要检查

  • 静脉血气
  • 血糖
  • 全血细胞计数
  • 尿素和电解质
  • 肝功能检测
  • 骨骼情况
  • 凝血功能检查

需考虑的检查

  • 血液培养
  • 头颅 CT
  • 胸部 X 线片
  • 心电图(ECG
  • 淀粉酶/脂肪酶
  • 腰椎穿刺
  • 脑电图(EEG
  • 血源性病毒筛查

治疗流程

撰稿人

专家顾问

Alexander Alexiou, MB BS BSc DCH FRCEM Dip IMC RCSEd

Flight Doctor

Greater Sydney Area Helicopter Emergency Medical Service

Sydney

New South Wales

Australia

利益声明

AA declares that he has no competing interests.

Thomas King,

利益声明

TK declares that he has no competing interests.

Acknowledgements,

BMJ Best Practice would like to gratefully acknowledge the previous team of expert contributors, whose work has been retained in parts of the content:

Hong K. Kim MD, MPH

Assistant Professor

Department of Emergency Medicine

University of Maryland School of Medicine

Baltimore

MD

Nicholas J. Connors MD

Associate Professor

Department of Emergency Medicine

Medical University of South Carolina

Charleston

SC

利益声明

HKK and NJC declare that they have no competing interests.

同行评议者

Nigel Langford,

Consultant Acute/General Medicine

University Hospitals of Leicester NHS Trust

Honorary Senior Lecturer

Department of Medical Education

University of Leicester

Leicester

UK

利益声明

NL has worked as an clinical pharmacologist expert witness at criminal, civil, family, and coroner's courts; given lectures on alcohol withdrawal at undergraduate and postgraduate events; published various articles and written book chapters.

编辑

Annabel Sidwell,

Section Editor, BMJ Best Practice

利益声明

AS declares that she has no competing interests.

Tannaz Aliabadi-Oglesby,

Lead Section Editor, BMJ Best Practice

利益声明

TAO declares that she has no competing interests.

Julie Costello,

Comorbidities Editor, BMJ Best Practice

利益声明

JC declares that she has no competing interests.

Adam Mitchell,

Drug Editor, BMJ Best Practice

利益声明

AM declares that he has no competing interests.

内容使用需遵循免责声明