Sternbach G L
Stanford University Medical Center, California.
Emerg Med Clin North Am. 1990 Nov;8(4):793-803.
Alcoholic patients have an increased susceptibility to certain bacterial infections. Among the more important of these infections are pneumonia, tuberculosis, spontaneous peritonitis, and bacteremia. This susceptibility is caused by alteration of immune function and mechanical defenses and are the sequel of chronic alcoholism, most notably cirrhosis. In many infections, morbidity is increased in alcoholics, with the course of the illness being more severe and complications more frequent. Assessment of the alcoholic patient with suspected infection should, therefore, be thorough and treatment prompt.
酒精性患者对某些细菌感染的易感性增加。在这些感染中，较为重要的有肺炎、肺结核、自发性腹膜炎和菌血症。这种易感性是由免疫功能和机械防御功能的改变引起的，是慢性酒精中毒的后果，最显著的是肝硬化。在许多感染中，酒精性患者的发病率增加，病程更严重，并发症更频繁。因此，对疑似感染的酒精性患者的评估应全面，治疗应及时。
