病例:男性,40岁。有饮酒史十年,每日4～6两。1988年出现明显的记忆力减退,计算力下降,步态蹒跚,向右凝视出现重影。1989年5月后欣快多动,注意力不集中,胡言乱语,时有幻视。曾先后在外院诊断“肝性脑病”、“精神分裂症”。住院治疗效果欠佳。近一月来上述症状加重,于1991年4月6日收入本院。查体:体温36.5,呼吸29,脉博79,血压15/10kPa。营养不良,反应迟钝,同话不能正确回答,步态不稳,右眼外展不全,心肺腹正常,四肢对称性肌萎缩、肌张力低,双手意向性 Case: Male, 40 years old. A decade of drinking history, daily 4 to 6 two. In 1988 there was a significant loss of memory, decreased computing power, staggering gait, ghosting towards the right. After May 1989 euphoria and hyperactivity, inattention, nonsense, sometimes visual hallucinations. He has successively diagnosed “hepatic encephalopathy” and “schizophrenia” outside the hospital. Inpatient treatment ineffective. The above symptoms increased in the past January and were admitted to this hospital on April 6, 1991. Physical examination: body temperature 36.5, breathing 29, pulse Bo 79, blood pressure 15 / 10kPa. Malnutrition, unresponsive, can not answer the correct answer with the words, unsteady gait, right eye outreach, cardiolipinal normal, symmetrical limb muscle atrophy, low muscle tension, both hands intentionality