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青年急性酒精中毒伴神经血管功能衰退:一组发人深省的病例系列

Acute Alcohol Intoxication With Accompanying Neurovascular Decline in Young Adults: A Sobering Case Series.

作者信息

Ordookhanian Christ, Amidon Ryan F, Kaloostian Paul

机构信息

Emergency Medicine, University of California Riverside School of Medicine, Riverside, USA.

Neuroscience, University of California Riverside, Riverside, USA.

出版信息

Cureus. 2020 Nov 19;12(11):e11572. doi: 10.7759/cureus.11572.

DOI:10.7759/cureus.11572
PMID:33364097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7749838/
Abstract

With an increase in both popularity and incidence, young adults continue to consume increasing amounts of ethanol-containing beverages at alarmingly short intervals, at times, far surpassing the threshold of binge drinking. From mixed beverages to party delights, high-concentration ethanol consumption continues to wreak havoc on the health of the younger generation. In this dual case series, we discuss two unique cases of alcohol-induced neurovascular compromise following episodes of high-volume ethanol consumption and acute neurovascular decline with varying outcomes. These cases highlight the hyperacute onset of severe pathology and the dire need for immediate medical intervention. While outcomes vary from case to case, our findings are congruent with those of vast medical literature that supports the consensus that immediate intervention to restore neurovascular flow is crucial for desired outcomes. At the end of the day, we cannot control the amount of alcohol that enters the mouths of our patients, but rather, we can educate them on safer practices while highlighting the risk and life-changing consequences of such risky behavior.

摘要

随着含乙醇饮料的受欢迎程度和发病率不断上升,年轻人继续以极短的间隔时间饮用越来越多的此类饮料,有时远远超过暴饮的阈值。从混合饮料到派对饮品,高浓度乙醇的摄入继续对年轻一代的健康造成严重破坏。在这个双病例系列中,我们讨论了两例在大量饮用乙醇后出现酒精性神经血管损害以及急性神经血管功能衰退的独特病例,其结果各不相同。这些病例突出了严重病理状况的超急性发作以及立即进行医疗干预的迫切需求。虽然每个病例的结果各不相同,但我们的发现与大量医学文献一致,这些文献支持这样的共识:立即干预以恢复神经血管血流对于取得理想结果至关重要。归根结底,我们无法控制进入患者口中的酒精量,但我们可以教育他们采取更安全的做法,同时强调此类危险行为的风险和改变生活的后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d029/7749838/66eab822092c/cureus-0012-00000011572-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d029/7749838/8854c69c0850/cureus-0012-00000011572-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d029/7749838/66eab822092c/cureus-0012-00000011572-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d029/7749838/8854c69c0850/cureus-0012-00000011572-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d029/7749838/66eab822092c/cureus-0012-00000011572-i02.jpg

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本文引用的文献

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Dose-Dependent Influences of Ethanol on Ischemic Stroke: Role of Inflammation.乙醇对缺血性中风的剂量依赖性影响:炎症的作用。
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Do all young ischemic stroke patients need long-term secondary preventive medication?所有年轻缺血性脑卒中患者都需要长期进行二级预防用药吗?
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