Sanz Marcos N, Arias Constantí V, Trenchs Sainz de la Maza V, Curcoy Barcenilla A I, Matalí Costa J, Luaces Cubells C
Sección de Urgencias, Servicio de Pediatría, Hospital Universitario Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España.
An Pediatr (Barc). 2009 Feb;70(2):132-6. doi: 10.1016/j.anpedi.2008.10.006. Epub 2009 Feb 4.
Patients arriving in Paediatric Emergency Departments due to alcohol abuse is fairly common. The aim of this study is to determine the profile of the patients seen in the emergency room for acute ethanol intoxication.
A descriptive study was performed on all patients seen in the emergency department with an acute ethanol intoxication over a 12-month period (2007). Patients with accidental poisoning or with related chronic illness were excluded.
A total of 104 patients were included (50% males). Their mean age was 16.2 years (standar desviation [SD] 1.2 years); 95.8% were older than 14 years. There was on patient who was seen twice for the same reason. The majority, 72.4%, were seen on holiday days; 82.9%, from 8:00 pm to 8:00 am. A total of 81.9% of the patients were brought in by ambulance. No cases of hypoglycaemia were detected and 7.5% of the patients had hypothermia. Ethanol levels and urine toxicology were measured in 66 cases. The mean blood ethanol was 186.1mg/dl (SD 56.2mg/dl); 21.2% were slightly intoxicated, 75.8% moderate and 3% severe. Cannabis was detected in seven cases and amphetamines in three. Three patients needed hospital admission.
The profile of the patient who arrives to emergency department with acute ethanol intoxication is a teenager who is seen on holiday nights, after a consumption of high proof alcoholic drinks, presents a moderate intoxication, and does not require hospitalisation.
因酒精滥用而前往儿科急诊科的患者相当常见。本研究的目的是确定在急诊室就诊的急性乙醇中毒患者的特征。
对2007年为期12个月内在急诊科就诊的所有急性乙醇中毒患者进行了描述性研究。排除意外中毒或患有相关慢性病的患者。
共纳入104例患者（50%为男性）。他们的平均年龄为16.2岁（标准差[SD]1.2岁）；95.8%的患者年龄超过14岁。没有患者因相同原因就诊两次。大多数患者（72.4%）在节假日就诊；82.9%的患者在晚上8点至早上8点就诊。共有81.9%的患者由救护车送来。未检测到低血糖病例，7.5%的患者体温过低。对66例患者进行了乙醇水平和尿液毒理学检测。平均血液乙醇含量为186.1mg/dl（标准差56.2mg/dl）；21.2%为轻度中毒，75.8%为中度中毒，3%为重度中毒。7例检测出大麻，3例检测出安非他明。3例患者需要住院治疗。
因急性乙醇中毒而到急诊科就诊的患者特征为青少年，在节假日夜间就诊，饮用高度酒精饮料后出现中度中毒，且无需住院治疗。
