Marco C A, Kelen G D
Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Emerg Med Clin North Am. 1990 Nov;8(4):731-48.
Acute alcohol intoxication is a commonly encountered clinical presentation in Emergency Medicine. Its role should be considered in many Emergency Department presentations, specifically in major and minor trauma, and in gastrointestinal, metabolic, neurologic, and psychiatric disorders. The differential diagnosis of change in mental status must be considered in all intoxicated patients. Management of intoxicated patients is generally supportive although complications of chronic alcoholism should be considered. Management should consist of correction of complications resultant from intoxication, as well as observation and the provision of a safe environment for the patient during the recovery phase of acute intoxication.
急性酒精中毒是急诊医学中常见的临床表现。在许多急诊科就诊情况中都应考虑其可能性,特别是在严重和轻度创伤以及胃肠道、代谢、神经和精神疾病中。所有中毒患者都必须考虑精神状态改变的鉴别诊断。中毒患者的管理一般是支持性的,不过应考虑慢性酒精中毒的并发症。管理应包括纠正中毒导致的并发症,以及在急性中毒恢复期对患者进行观察并提供安全的环境。