酒后颅脑外伤36例临床分析  

An Analysis of Head Injuries in 36 Alcoholics

作　　者：李仲冕[1] 张晓彪[1] 袁志诚 李巧玉 陆培松 

机构地区：[1]镇江市第一人民医院神经外科

出　　处：《南京医学院学报》1993年第4期424-426,共3页

摘　　要：报告36例饮酒过量引起的颅脑外伤。重型颅脑伤20例;颅内血肿22例;误诊14例。探讨了饮酒过量后对中枢神经系统、脑血流、脑脊液的影响,并分析了误诊原因。指出饮酒过量后中枢神经系统的抑制加以颅脑外伤后意识障碍是造成误诊的重要原因。作者认为入院后6小时对患者作仔细的意识评定,尤其是头颅CT检查,对减少误诊,改善生存率有重要意义。Thirty-six drunkards with different degrees of head injuries (intracranial hematoma 22 (severe in 20) and misdiagnosis (14) were analyzed. The toxic actions of alco- hol over-dose on CNS, CBF and CSF were enumerated. The various causes leading to misdi- agnosis, the toxic suppression of brain function and loss of consciousness after brain injury were the most common. In order to avoid misdiagnosis, it is justifiable to evaluate patient's mental alertness within 6 hours after admission. For correct diagnosis and proper treatment, CT of the head region is indicated.

关 键 词：饮酒过量 颅脑损伤 创伤 误诊 

分 类 号：R651.150.4[医药卫生—外科学]