| 释义 |
delirium tremens
delirium tre·mens D0113200 (trē′mənz)n. An acute, sometimes fatal episode of delirium usually caused by withdrawal or abstinence from alcohol following habitual excessive drinking. It also may occur during an episode of heavy alcohol consumption.
[New Latin dēlīrium tremēns : Latin dēlīrium, delirium + Latin tremēns, trembling.]delirium tremens (ˈtrɛmɛnz; ˈtriː-) n (Psychiatry) a severe psychotic condition occurring in some persons with chronic alcoholism, characterized by delirium, tremor, anxiety, and vivid hallucinations. Abbreviation: dt or DT's (informal)[C19: New Latin, literally: trembling delirium]delir′ium tre′mens (ˈtri mənz, -mɛnz)
n. a withdrawal syndrome occurring in persons who have developed physiological dependence on alcohol, characterized by tremor, hallucinations, and autonomic instability. Also called the d.t.'s. [1813; < New Latin: trembling delirium] Thesaurus| Noun | 1. | delirium tremens - acute delirium caused by alcohol poisoningDTspsychosis - any severe mental disorder in which contact with reality is lost or highly distorted |
TranslationsDelirium tremensdelirium tremensdelirium tremens
delirium tremens (trē`mənz, trĕm`ənz), hallucinatory episodes that may occur during withdrawal from chronic alcoholism, popularly known as the DTs. An episode of delirium tremens is usually preceded by disturbed sleep and irritability, and generally takes several days to develop. The patient may experience sweating and increases in heart rate and body temperature, as well as hallucinations, tremors, and convulsions. In severe cases, delirium tremens may lead to hypothermia, cardiovascular collapse, and death. Delirium tremens can be treated, and even prevented, by the injection of fairly large doses of glucose, thiamine (vitamin B1), and insulin, and the continued administration of fluids (sodium chloride and sodium lactate) and the B vitamins. The condition is related to the abrupt drop in blood alcohol level after drinking ceases. Tranquilizers, sedatives, and anticonvulsants are also used in treatment.delirium tremens[di′lir·ē·əm ′trem·ənz] (medicine) Delirium associated with tremors, insomnia, and other physical and neurological symptoms frequently following chronic alcoholism. delirium tremens a severe psychotic condition occurring in some persons with chronic alcoholism, characterized by delirium, tremor, anxiety, and vivid hallucinations delirium tremens
delirium [dĕ-lēr´e-um] (pl. deli´ria) An acute, transient disturbance of consciousness accompanied by a change in cognition and having a fluctuating course. Characteristics include reduced ability to maintain attention to external stimuli and disorganized thinking as manifested by rambling, irrelevant, or incoherent speech; there may also be a reduced consciousness" >level of consciousness, sensory misperceptions, disturbance of the sleep-wakefulness cycle and level of psychomotor activity, disorientation to time, place, or person, and memory impairment. Delirium may be caused by a number of conditions that result in derangement of cerebral metabolism, including systemic infection, cerebral tumor, poisoning, drug intoxication or withdrawal, seizures or head trauma, and metabolic disturbances such as fluid, electrolyte, or acid-base imbalance, hypoxia, hypoglycemia, or hepatic or renal failure.alcohol withdrawal delirium (delirium tre´mens) an acute alcohol withdrawal" >withdrawal syndrome that can occur in any person who has a history of drinking heavily and suddenly stops. It can occur with any form of alcoholic beverage, including beer and wine, and is most commonly seen in chronic alcoholics. The severity of the symptoms usually depends on the length of time the patient has had a problem of alcohol abuse and the amount of alcohol that had been drunk before the abstinence that precipitated the delirium. See also alcoholism.Clinical Course. Generally, this syndrome begins a few days after drinking has ceased and ends within 1–5 days. It can be heralded by a variety of signs and symptoms. Some patients exhibit only mild tremulousness, irritability, difficulty in sleeping, an elevated pulse rate and hypertension, and increased temperature. Others have generalized convulsions as the first sign of difficulty. Most persons exhibit severe memory disturbance, agitation, anorexia, and hallucinations.
Hallucinations are likely to follow the early signs and usually, but not always, are unpleasant and threatening to the patient. These hallucinations can be of three types: auditory, visual, or tactile. Delusions often follow or accompany the hallucinations. These patients are unable to think clearly and sometimes become paranoid and greatly agitated. At this point they can become dangerous to themselves and others.
Generalized grand mal seizures can occur in delirium tremens. The hallucinations and delusions may continue, contributing to the state of agitation and precipitating seizures. Treatment and Patient Care. Persons with delirium tremens are very ill and have multiple short-term and long-term problems. They should be kept in a quiet, nonstimulating environment and approached in a calm, reassuring manner. They must be watched closely and protected from self-injury during the period of delirium and also when they are convalescing from their illness and are likely to feel great remorse and depression. They should be observed for signs of extreme fatigue, pneumonia, or heart failure. Respiratory infections are quite common in these patients because of their weakened condition and inattention to personal hygiene.
The diet should be high in fluid intake and carbohydrate content and low in fats. If the patient has cirrhosis, protein intake may be limited. Dietary supplements usually include vitamin preparations, especially the B complex vitamins. If the patient is unable to cooperate by taking fluids and food by mouth, tube feeding and intravenous fluids may be necessary. Tranquilizing agents and sedatives are useful for therapy.de·lir·i·um tre·'mens (DTs, DT), a severe, sometimes fatal, form of delirium due to alcohol withdrawal following a period of sustained intoxication. [L. pres. p. of tremo, to tremble] delirium tremens (trē′mənz)n. An acute, sometimes fatal episode of delirium usually caused by withdrawal or abstinence from alcohol following habitual excessive drinking. It also may occur during an episode of heavy alcohol consumption.DTS Abbreviation for:
danger-to-self
Data Transfer Service, see there
delirium tremens
diphtheria toxin sensitivity
dipyridamole thallium scintigraphydelirium tremens Complicated alcohol abstinence Alcoholism An acute organic psychosis seen 3-10 days after abrupt alcohol withdrawal Clinical Confusion, sensory overload, hallucinations–eg snakes, bugs, tremor, seizures, autonomic hyperactivity, cardiovascular defects, diaphoresis, dehydration Lab ↓ K+, Mg2+ Management Hallucinations require hospitalization and haloperidol; abrupt alcohol withdrawal requires CNS depressants–eg benzodiazepines, phenobarbital; antipsychotics–eg clopromazine should not be used; anticonvulsants are not used in absence of seizure history. See Othello syndrome. de·lir·i·um tre·mens (DTs) (dĕ-lir'ē-ŭm trē'mĕnz) A severe, sometimes fatal, form of delirium due to alcoholic withdrawal after a period of sustained intoxication.
Synonym(s): oenomania. delirium tremens A dramatic condition sometimes affecting people on withdrawal from heavy alcohol indulgence. There are purposeless body movements, shakiness, tremor, incessant and sometimes incoherent talk and a sense of threat. Vivid, unpleasant hallucinations occur. The affected person may see terrifying sights, smell horrifying smells, feel distressing touchings or hear threatening or frightening sounds or speech. Often a major seizure occurs.Delirium tremensA complication that may accompany alcohol withdrawal. The symptoms include body shaking (tremulousness), insomnia, agitation, confusion, hearing voices or seeing images that are not really there (hallucinations), seizures, rapid heart beat, profuse sweating, high blood pressure, and fever.Mentioned in: Alcohol-Related Neurologic DiseaseMorel, Bénédict A., French psychiatrist, 1809-1873. Kraepelin-Morel disease - see under KraepelinMorel disease - alcohol withdrawal. Synonym(s): delirium tremensMorel ear - a large, misshapen, outstanding auricle with obliterated grooves and thinned edges.Stewart-Morel syndrome - Synonym(s): Morgagni syndromede·lir·i·um tre·mens (dĕ-lir'ē-ŭm trēm'enz) Severe, sometimes fatal, form of delirium due to alcohol withdrawal following a period of sustained intoxication. Delirium tremens
DELIRIUM TREMENS, med. jur. A species of insanity which has obtained this name, in consequence of the tremor experienced by the delirious person, when under a fit of the disorder.
2. The disease called delirium tremens or mania a potu, is well described in the learned work on the Medical Jurisprudence of Insanity, by Dr. Ray, Sec. 315, 316, of which the following is an extract: "it may be the immediate effect of an excess, or series of excesses, in those who are not habitually intemperate, as well as in those who are; but it most commonly occurs in habitual drinkers, after a few days of total abstinence from spirituous liquors. It is also very liable to occur in this latter class whenlaboring under other diseases, or severe external injuries that give rise to any degree of constitutional disturbance. The approach of the disease is generally indicated by a slight tremor and faltering of the hands and lower extremities, a tremulousness of the voice, a certain restlessness and sense of anxiety which the patient knows not how to describe or to account for, disturbed sleep, and impaired appetite. These symptoms having continued two or three days, at the end, of which time they have obviously increased in severity, the patient ceases to sleep altogether, and soon becomes delirious. At first, the delirium is not constant, the mind wandering during the night, but during the day, when its attention is fixed, capable of rational discourse. It is not long, however, before it becomes constant, and constitutes the most prominent feature of the disease. This state, of watchfulness and delirium continues three or four days, when, if the patient recover, it is succeeded by sleep, which, at first appears in uneasy and irregular naps, and lastly in long, sound, and refreshing slumbers. When sleep does not supervene about this period, the, disease is fatal; and whether subjected to medical treatment, or left to itself, neither its symptoms nor duration are materially modified.
3. "The character of the delirium in this disease is peculiar, bearing a stronger resemblance to dreaming, than any other form of mental derangement. It would seem as if the dreams which disturb and harass the mind during the imperfect sleep that precedes the explosion of the disease, continue to occupy it when awake, being then viewed as realities, instead of dreams. The patient imagines himself, for instance, to be in some particular situation, or engaged in certain occupations according to each individuals habits and profession, and his discourse and conduct will be conformed to this delusion, with this striking peculiarity, however, that he is thwarted at every step, and is constantly meeting with obstacles that defy his utmost efforts to remove. Almost invariably, the patient manifests, more or less, feelings of suspicion and fear, laboring under continual apprehension of being made the victim of sinister designs and practices. He imagines that certain people have conspired to rob or murder him, and insists that he can hear them in an adjoining apartment, arranging their plans and preparing to rush into his room; or that he is in a strange place where he is forcibly detained and prevented from going to his own home. One of the most common hallucinations is, to be constantly seeing devils, snakes, vermin, and all manner of unclean things around him and about him, and peopling every nook and corner of his apartment with these loathsome objects. The extreme terror which these delusions often inspire, produces in the countenance, an unutterable expression of anguish; and, in the hope of escaping from his, fancied tormentors, the wretched patient endeavors to cut his throat, or jump from the window. Under the influence of these terrible apprehensions, he sometimes murders his wife or attendant, whom his disordered imagination identifies with his enemies, though he is generally tractable and not inclined to be mischievous. After perpetrating an act of this kind, he generally gives some illusive reason for his conduct, rejoices in his success, and expresses his regret at not having done it before. So complete and obvious is the mental derangement in this disease, so entirely are, the thoughts and actions governed by the most unfounded and absurd delusions, that if any form of insanity absolves from criminal responsibility, this certainly must have that effect. 3 Am. Jur. 5-20. AcronymsSeedesktopdelirium tremens
Synonyms for delirium tremensnoun acute delirium caused by alcohol poisoningSynonymsRelated Words |