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目的探讨研究慢性酒精中毒患者的影像及临床表现。方法对26例慢性酒精中毒患者影像资料、实验室检查及临床表现进行分析研究。结果26例患者均有不同程度影像学改变,其中9例有小脑萎缩,8例有白质脱髓鞘改变。5例有胼胝体变性,11例有韦尼克脑病,4例有桥脑中央髓鞘溶解症。实验室检查25例肝功异常,17例低血钾,13例低血钙。并见26例患者均有不同程度精神及意识障碍。结论慢性酒精中毒患者影像及临床均有其特征性,CT、MRI检查对诊断具有重要价值。
Objective To investigate the imaging and clinical manifestations of patients with chronic alcoholism. Methods 26 cases of chronic alcoholism patients with imaging data, laboratory tests and clinical manifestations were analyzed. Results All the 26 patients had different degrees of imaging changes, including 9 cases of cerebellar atrophy and 8 cases of white matter demyelination. 5 cases of corpus callosum degeneration, 11 cases of Wernicke’s encephalopathy, 4 cases of pontine myelinolysis. Laboratory examination of 25 cases of abnormal liver function, 17 cases of hypokalemia, 13 cases of hypocalcemia. And see 26 patients have varying degrees of mental and disturbance of consciousness. Conclusion Patients with chronic alcoholism have their own characteristics of imaging and clinical, CT, MRI examination of great value in the diagnosis.