《慢性酒精中毒性脑病诊治中国专家共识》解读.pdfVIP

《慢性酒精中毒性脑病诊治中国专家共识》 解读 【摘要】 2018 年发表的《慢性酒精中毒性脑病诊治中国专家共识》（以下简称共识）结合我国国情， 在广泛征求临床专家意见的基础上，对慢性酒精中毒性脑病的定义和现状、临床表现和特点、影像学和 病理学表现进行总结，推荐临床筛查和评价量表，制定治疗方案。本文基于该病临床诊断与治疗中遇到 的问题，对共识中的部分内容进行解读，并对一些存有争议而未纳入共识的知识点进行补充和讨论。 【关键词】 脑疾病； 酒精中毒； 中国； 综述 “ Interpretation of Diagnoses and treatments of chronic alcoholic toxic cerebral encephalopathy:anexpertconsensus LI Yi, PENG Ying Department of Neurology, Sun Yat ⁃sen Memorial Hospital, Sun Yat ⁃sen University, Guangzhou 510120, Guangdong, China Corresponding author: PENG Ying (Email: 2353352460@) 【 】 Abstract Diagnoses and treatments of chronic alcoholic toxic cerebral encephalopathy: an expert consensus published in 2018 summarized the definition and current status, clinical manifestations and features, neuroimaging and pathological features of chronic alcoholic toxic cerebral encephalopathy, recommended clinical screening and assessing scales and developed treatment protocols based on national conditions and a lot of experts opinions. This paper explained partial contents of the consensus based on problems in clinical diagnosis and treatment of the disease, and added and discussed some controversial points not included in the consensus. 【 】 Keywords Brain diseases; Alcoholism; China; Review This study was supported by the National Key Research and Development Program of China (No. 2018YFC1314400). Conflictsofinterest: none declared 慢性酒精中毒性脑病是酒精滥用和酒精中毒 识中的部分内容进行解读，并对一些临床专家存有 患者的严重疾病表现。酒精中毒对脑组织的伤害， 争议而未纳入共识的知识点进行补充和讨论。 以及伴之而来的家庭、医疗和社会问题，最终可导 一、慢性酒精中毒性脑病的定义和现状 致大量社会资源的浪费。2018 年发表的《慢性酒精 酒精中毒性脑病分为急性和慢性两种类型。 ［］ 中毒性脑病诊治中国专家共识》（以下简称共识）1 其中，慢性酒精中毒性脑病系由于长期饮酒，酒精 是依据近年来国内外最新研究进展，并结合我国国