Psychiatr. pro Praxi, 2006; 4: 179-181

Ťažké delírium tremens komplikované rabdomyolýzou s akútnym renálnym zlyhaním

MUDr. Jozef Kalužay1, MUDr. Katarína Sigmundová2, MUDr. Petra Nosá\'lová2, MUDr. Patrik Podaný3
1 Jednotka intenzívnej starostlivosti NsP sv. Cyrila a Metoda, Bratislava, Rádiodiagnostické oddelenie
2 Psychiatrické oddelenie, Fakultna nemocnica Bratislava
3 IV. interná klinika Lekárskej fakulty Univerzity Komenského, Bratislava

Opisujeme priebeh ťažkého delíria tremens komplikovaného rabdomyolýzou s akútnym zlyhaním obličiek. Príčinou ťažkej rabdomyolýzy bola aktivácia vegetatívneho nervového systému s výrazným svalovým trasom. Funkciu obličiek sa podarilo obnoviť intenzívnou infúznou a ďalšou komplexnou liečbou. Somatický aj psychický stav sa takmer úplne upravil. Na liečbu alkoholového delíria tremens sú tradične odporúčané sedatíva najmä benzodiazepíny, tiamín, infúzie glukózy, dôležitú úlohu má substitúcia deficitu minerálov, deficitu tekutín, podporná liečba a ošetrovateľská starostlivosť. Pacient s ťažkým delíriom by mal byť hospitalizovaný na jednotke intenzívnej starostlivosti.

Published: August 1, 2006  Show citation

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Kalužay J, Sigmundová K, Nosá\'lová P, Podaný P. Ťažké delírium tremens komplikované rabdomyolýzou s akútnym renálnym zlyhaním. Psychiatr. praxi. 2006;7(4):179-181.
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    References

    1. Adinoff B. Double-blind study of alprazolam, diazepam, clonidine, and placebo in the alcohol withdrawal syndrome: preliminary findings. Alcohol Clin Exp Res 1994; 18: 873-878. Go to original source... Go to PubMed...
    2. Asplund CA, Aaronson JW and Aaronson HE. 3 regimens for alcohol withdrawal and detoxification. J Fam Pract 2004; 53: 545-554.
    3. Erwin WE, Williams DB and Speir WA. Delirium tremens. South Med J 1998; 91: 425-432. Go to original source... Go to PubMed...
    4. Faldyna Z and Zedková I. Terapie alkoholového odvykacícho syndromu. Psychiatr pro prax 2006; 7: 23-24.
    5. Hese RT, Sikora G, Zorawik M and Kotnis J. What determines decreased mortality among patients treated for alcoholic delirium? Psychiatr Pol 1991; 25: 50-55.
    6. Kraus ML, Gottlieb LD, Horwitz RI and Anscher M. Randomized clinical trial of atenolol in patients with alcohol withdrawal. N Engl J Med 1985; 313: 905-909. Go to original source... Go to PubMed...
    7. Kumar D and McAlister FA. Rhabdomyolysis complicating unrecognized hypophosphatemia in an alcoholic patient. Can J Gastroenterol 1999; 13: 165-167. Go to original source... Go to PubMed...
    8. Mayo-Smith MF, Beecher LH, Fischer TL et al. Management of alcohol withdrawal delirium. An evidence-based practice guideline. Arch Intern Med 2004; 164: 1405-1412. Go to original source... Go to PubMed...
    9. Rassouli ME, Ikeda H and Otsuki S. Hypokalemic myopathy due to chronic alcoholism. Folia Psychiatr Neurol Jpn 1976; 30: 505-515. Go to original source... Go to PubMed...
    10. Rozhold O and Vojacek K. Alcoholic myopathy. Cesk Patol 1986; 22: 35-40. Go to PubMed...
    11. Saltissi D, Parfrey PS, Curtis JR et al. Rhabdomyolysis and acute renal failure in chronic alcoholics with myopathy, unrelated to acute alcohol ingestion. Clin Nephrol 1984; 21: 294-300. Go to PubMed...
    12. Sellers EM, Zilm DH and Degani NC. Comparative efficacy of propranolol and chlordiazepoxide in alcohol withdrawal. J Stud Alcohol 1977; 38: 2096-2108. Go to original source... Go to PubMed...
    13. Spies CD, Otter HE, Huske B et al. Alcohol withdrawal severity is decreased by symptom-orientated adjusted bolus therapy in the ICU. Intensive Care Med 2003; 29: 2230-2238. Go to original source... Go to PubMed...

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