tremor of hands and lips
Introduction
Introduction Hand and lip tremor: In patients with acute alcoholism, due to a large amount of alcohol consumption, the patient presents with a special state of excitement, emotional irritability and instability, increased speech, repetition, exaggeration, and sometimes dissatisfaction with usual , loudly insulted, there are aggressive behaviors; at this time the mouth is unclear, the lips of the hand tremble, the walking is unstable, and the face is flushed, and the heart rate increases.
Cause
Cause
Due to the tremor of the hand and lips caused by a large amount of drinking, the walking is unstable, and the face is flushed, and the heart rate is increased. Abnormal behavior, such as the original personality change, impaired judgment, and emotional instability, or hi or anger, or sad or worried, sometimes generate hostility or attack. Or behavioral abnormalities, such as the original personality changes, impaired judgment, so that confidence is enhanced. The blood alcohol concentration in this period is generally 500 to 1000 mg/L. So that confidence is enhanced.
Examine
an examination
Related inspection
Brain Doppler Ultrasound (TCD) Brain CT examination
The patient is excited, red-faced, comfortable, self-satisfied, and vocal. And emotional instability, or hi or anger, or sadness or sorrow, sometimes produces hostility or attack. Or behavioral abnormalities, such as the original personality changes, impaired judgment, so that confidence is enhanced. The blood alcohol concentration in this period is generally 500 to 1000 mg/L. Frequently, after a small amount of drinking, sudden sputum or paralysis, extreme excitement, illusion illusion and victimized delusions, aggressive behavior, nervous fear, and seizures occur.
Diagnosis
Differential diagnosis
1. Ordinary drunkenness, also known as simple drunkenness or general drunkenness, is the state of acute alcoholism that occurs after drinking. The development of drunkenness depends on the concentration of alcohol in the blood. When the concentration of alcohol in the blood reaches 0.05%, it is slightly drunk, feeling comfortable, wonderful talk, and poetry attack, but the coordinated action of the eyes and fingers is affected; if drinking continues, the concentration of alcohol in the blood rises to 0.1. Above %, it is characterized by frivolous behavior, emotional instability, irritability, dissuasion, feeling slow, gait, which is a typical manifestation of acute alcoholism; when the concentration of alcohol in the blood rises above 0.2%, The usual suppressed desires and hidden grievances are vented out, manifested as words that are not inferior, borrowed from the subject, act rudely, and cause trouble; if you continue to drink alcohol, the concentration of alcohol in the blood reaches 0.3% or more, which is characterized by ambiguity, vomiting, When the concentration of alcohol in the blood rises above 0.4%, it will cause paralysis and coma; when the concentration of alcohol in the blood rises above 0.5%, it can be directly killed. Of course, not every drunkard's development process will be so step by step, the intensity of the symptoms depends on the individual's tolerance to alcohol.
2. Characteristics of pathological drunkenness
It is a small amount of drinking that causes severe mental disorders. It mainly occurs in people who are very low in tolerance to alcohol. They often have a sudden or paralyzed state, extreme excitement, illusion hallucinations and victimized delusions, aggressive behaviors, nervous fears, and seizures after a small amount of alcohol consumption. The general episode lasts for several hours, or for a whole day, often ends with a deep sleep, and after waking up, it cannot be recalled.
3, complex drunk
Complex drunkenness is usually brain damage, such as head injury, encephalitis, epilepsy, etc., or severe brain dysfunction, mental retardation, personality changes, etc., tolerance to alcohol is greatly reduced, due to heavy drinking caused by heavy drinking Poisoning status. The complexity lies in the fact that in addition to the general drunkenness, the disturbance of consciousness is obvious, which is characterized by excitement, violent behavior, and even murder and destruction. The duration is often only a few hours. Afterwards, the episode has completely lost memory, or only sporadic memory.
The patient is excited, red-faced, comfortable, self-satisfied, and vocal. And emotional instability, or hi or anger, or sadness or sorrow, sometimes produces hostility or attack. Or behavioral abnormalities, such as the original personality changes, impaired judgment, so that confidence is enhanced. The blood alcohol concentration in this period is generally 500 to 1000 mg/L.
