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酒精与创伤。一种地方病综合征。

Alcohol and trauma. An endemic syndrome.

作者信息

Meyers H B, Zepeda S G, Murdock M A

机构信息

Division of Health Promotion and Disease Prevention, County of Orange Health Care Agency, Santa Ana, California 92702.

出版信息

West J Med. 1990 Aug;153(2):149-53.

PMID:2219871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1002500/
Abstract

Injuries are a pervasive and costly problem, and alcohol use appears to be an important risk factor for injury. We examined the blood alcohol levels and selected demographic and epidemiologic variables recorded on trauma patients by 1 trauma center for a 28-month period. A total of 2,262 trauma patients were admitted to the trauma center during this period, of whom 75% were male and 72% were injured in vehicle-related incidents. Blood alcohol levels of 2,095 patients (93%) were measured, and alcohol was present in the blood of 855 (41%). Of those patients with a blood alcohol level done, 32% had a level higher than 100 mg per dl. We conclude that the level of alcohol involvement in trauma is high and that this involvement must be addressed by the medical community and the health care system.

摘要

伤害是一个普遍存在且代价高昂的问题,而饮酒似乎是伤害的一个重要风险因素。我们研究了一家创伤中心在28个月期间记录的创伤患者的血液酒精水平以及选定的人口统计学和流行病学变量。在此期间,共有2262名创伤患者被收治到该创伤中心,其中75%为男性,72%在与车辆相关的事故中受伤。对2095名患者(93%)进行了血液酒精水平检测,855名患者(41%)血液中含有酒精。在进行了血液酒精水平检测的患者中,32%的患者血液酒精水平高于每分升100毫克。我们得出结论,创伤中酒精的参与程度很高,医学界和医疗保健系统必须解决这一问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ee/1002500/04de3ef4f297/westjmed00108-0042-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ee/1002500/90f6334617ac/westjmed00108-0040-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ee/1002500/fc8d46ad3880/westjmed00108-0041-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ee/1002500/04de3ef4f297/westjmed00108-0042-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ee/1002500/90f6334617ac/westjmed00108-0040-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ee/1002500/fc8d46ad3880/westjmed00108-0041-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ee/1002500/04de3ef4f297/westjmed00108-0042-a.jpg

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1
Alcohol and trauma. An endemic syndrome.酒精与创伤。一种地方病综合征。
West J Med. 1990 Aug;153(2):149-53.
2
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A positive blood alcohol concentration is the main predictor of recurrent motor vehicle crash.血液酒精浓度呈阳性是复发性机动车碰撞事故的主要预测指标。
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引用本文的文献

1
Time of injury in light of prior-to-injury and usual alcohol consumption: an emergency department study.根据受伤前及通常的酒精摄入量分析受伤时间:一项急诊科研究
Open Access Emerg Med. 2010 Aug 16;2:61-6. doi: 10.2147/OAEM.S11371. eCollection 2010.
2
Correlation of alcohol intoxication with life-threatening assaults.酒精中毒与危及生命的攻击行为的相关性。
J Natl Med Assoc. 1998 Dec;90(12):761-4.
3
Improving identification of and intervention for alcoholism.改善酒精中毒的识别与干预。

本文引用的文献

1
Alcohol and the emergency service patient.酒精与急诊患者
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2
The role of alcohol in accidental falls.酒精在意外跌倒中的作用。
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3
Identification of alcohol abuse using laboratory tests and a history of trauma.利用实验室检查和创伤史来识别酒精滥用。
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Alcohol-related trauma. The surgeon's responsibility.酒精相关创伤。外科医生的职责。
Ann Surg. 1985 Feb;201(2):194-7. doi: 10.1097/00000658-198502000-00010.
6
The potentiating effects of alcohol on driver injury.酒精对驾驶员受伤的增强作用。
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7
Drunk drivers and medical and social injury.醉酒驾车与医疗及社会伤害。
N Engl J Med. 1987 Nov 12;317(20):1262-6. doi: 10.1056/NEJM198711123172005.
8
A national alcohol and trauma center survey. Missed opportunities, failures of responsibility.一项全国酒精与创伤中心调查。错失的机会,责任的缺失。
Arch Surg. 1987 Sep;122(9):1067-71. doi: 10.1001/archsurg.1987.01400210105016.
9
Diagnosis of alcohol ingestion in mild head injuries.轻度头部损伤中酒精摄入情况的诊断。
Lancet. 1977 May 14;1(8020):1021-3. doi: 10.1016/s0140-6736(77)91256-9.