醉酒后颅脑损伤65例治疗体会  

Therapy of 65 patients with Traumatic Brain Injury after Ethanol Intoxication

作　　者：关新明[1] 

机构地区：[1]江汉油田中心医院,湖北潜江433124

出　　处：《基层医学论坛》2005年第9期797-798,共2页The Medical Forum

摘　　要：目的探讨醉酒后颅脑损伤的临床特点及治疗方法。方法回顾性分析本院收治的醉酒后重型颅脑损伤65例。结果据GOS标准判断,良好35例(53.8%),中残11例(16.9%),重残4例(6.1%),植物生存1例(1.5%),死亡14例(21.5%);其中延误诊断8例(12.3%),出现并发症23例(35.4%)。结论避免延误诊断关键在于医务人员对醉酒与颅脑损伤之间相互关系的认识,消除对醉酒患者的厌恶情绪,同时使用纳洛酮消除急性酒精中毒对神志判断的影响,加强呼吸道的管理、早期气管切开及使用制酸剂可以减少并发症的发生。Objective To investigate the clinical characteristics and the treatments of severe traumatic brain injury after ethanol intoxication. Methods Sixty-five patients with severe traumatic brain injury after ethanol intoxication were analyzed retrospectively in our hospital. Results Clinical outcome was assessed according to the Glasgow Outcome Scale.Of all these patients,35 cases made a good recovery（53.8%）, 11 cases were left with moderate disabilities （16.9%）, 4 cases were severely disabled（6.1%） and one was left in a persistent vegetative state （1.5%）. There were 14 caces of death,8 cases were delayed diagnosis （12.3%） and 23 had occurred complications （35.4%）. Conclusion The key to avoiding delayed diagnosis is that the doctors understand the eorrelatins between ethanol intoxication and traumatic brain injury,and remove a antipathy to the drinder. Meanwhile, injecting Naloxone can depress the influence of the acute intoxication on the level of consciousness.Furthermore, intensive management of air tube,early incision of trachea and antiaeid should be utilized to prevent the occurrence of complications.

关 键 词：醉酒 重型颅脑损伤 手术治疗 醉酒后 治疗体 急性酒精中毒 早期气管切开 延误诊断 回顾性分析 治疗方法 

分 类 号：R651.15[医药卫生—外科学] TH789[医药卫生—临床医学]