Fiellin D A, Reid M C, O'Connor P G
Yale University School of Medicine, 333 Cedar Street, Box 208025, New Haven, CT 06520-8025, USA.
Ann Intern Med. 2000 Nov 21;133(10):815-27. doi: 10.7326/0003-4819-133-10-200011210-00015.
This paper addresses the clinical presentation of patients with alcohol problems including screening, diagnosis, detoxification, treatment, referral, and longitudinal follow-up. The case-based discussion focuses on the clinical management of a patient whose hazardous drinking progresses to alcohol dependence and requires coordinated care. Ways in which internists can aid patients with alcohol problems by screening, giving brief advice, and providing appropriate referrals when indicated are discussed.
本文论述了有酒精问题患者的临床表现，包括筛查、诊断、脱毒、治疗、转诊及长期随访。基于病例的讨论聚焦于一名危险饮酒发展为酒精依赖且需要协调护理的患者的临床管理。文中讨论了内科医生通过筛查、提供简短建议以及在有指征时进行适当转诊来帮助有酒精问题患者的方式。
