酒精中毒性幻觉症的临床与犯罪──附3例报告

Clinical feature and criminal behavior of three cases with alcoholic hallucinosis

结合三个案例并复习文献讨论了酒精中毒性幻觉症的临床特点：患者在慢性酒精中毒的基础上由于减酒、戒酒或大量饮酒过后，在意识清晰状态下，出现斥责，威胁性第三人称的言语性幻听，对幻觉有强烈情感反应和行为。原始性幻听在该症也常出现，它进一步加强了患者对幻听的坚信。患者受幻听影响常出现逃避和自杀行为，而且也可出现严重的犯罪行为，应引起精神病学界及社会的重视，以尽早发现和治疗并采取防范措施。

The clinical feature and criminal behavior of alcoholic hallucinosis(AH) are discussed based on three cases observed and a literature review. Caused by chronic alcoholic intoxication and triggered by decrease, absence or excessive alcohol drinking, AH patient was usually Characterized by, in clear consciousness, auditory hallucination with others' voices uttering insults or threats. This led to rather strong reactions of emotion and behavior, such as escape, suicide,or even severe criminal activity to the hallucination, especially in those with a persistent belief resulted from primarily hallucination. The authors stress the importance for psychiatrists to pay more attention to early identification and treatment of AH patient.