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酒精相关创伤。外科医生的职责。

Alcohol-related trauma. The surgeon's responsibility.

作者信息

Reyna T M, Hollis H W, Hulsebus R C

出版信息

Ann Surg. 1985 Feb;201(2):194-7. doi: 10.1097/00000658-198502000-00010.

DOI:10.1097/00000658-198502000-00010
PMID:3970599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1250640/
Abstract

Four thousand fifty-six consecutive emergency room trauma visits in a small community hospital were evaluated to determine the extent of coexisting alcohol usage. The magnitude of the alcohol problem is documented in this series by the fact that more than 40% of the patients requiring admission had elevated blood alcohol tests. Eight of nine traumatic fatalities were alcohol-related. The need for early recognition of problem drinkers is emphasized by the fact that 85% of known alcoholics are not receiving formal treatment. Reasons for failure to recognize the problem are discussed. The responsibility of the surgeon aggressively to pursue early identification is stressed.

摘要

对一家小型社区医院连续4056例急诊室创伤就诊病例进行了评估,以确定同时存在酒精使用情况的程度。本系列研究记录了酒精问题的严重程度,因为超过40%需要住院治疗的患者血液酒精检测结果升高。9例创伤死亡病例中有8例与酒精有关。85%的已知酗酒者未接受正规治疗,这一事实凸显了早期识别问题饮酒者的必要性。文中讨论了未能识别该问题的原因。强调了外科医生积极寻求早期识别的责任。

相似文献

1
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.
2
Serum alcohol levels and the incidence of trauma.血清酒精水平与创伤发生率。
Curr Alcohol. 1981;8:269-82.
3
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Alcohol Alcohol. 2004 Jul-Aug;39(4):340-5. doi: 10.1093/alcalc/agh064.
4
[The role of alcohol in accidents].[酒精在事故中的作用]
Lakartidningen. 1971 Jul 14;68(29):3295-300.
5
Emergency department detection of adolescents with a history of alcohol abuse and alcohol problems.急诊科对有酗酒史和酒精问题的青少年进行检测。
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Guidelines for alcohol screening in adolescent trauma patients: a report from the Pediatric Trauma Society Guidelines Committee.青少年创伤患者的酒精筛查指南:儿科创伤学会指南委员会的报告。
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[Ethyl alcohol and psychoactive drugs in patients with head and trunk injuries treated at the Department of General Surgery, Provincial Hospital in Siedlce].[在锡德尔斯克省立医院普通外科接受治疗的头部和躯干损伤患者中的乙醇和精神活性药物]
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Alcoholism in polytrauma.多发伤中的酒精中毒
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Biological markers of alcohol intake among 4796 subjects injured in accidents.4796名事故受伤者酒精摄入量的生物标志物。
Br Med J (Clin Res Ed). 1986 May 10;292(6530):1234-7. doi: 10.1136/bmj.292.6530.1234.

引用本文的文献

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Detecting Alcohol-Related Problems in Trauma Center Patients.在创伤中心患者中检测与酒精相关的问题。
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2
Acute alcohol intoxication reduces mortality, inflammatory responses and hepatic injury after haemorrhage and resuscitation in vivo.急性酒精中毒可降低体内出血再灌注后死亡率、炎症反应和肝损伤。
Br J Pharmacol. 2012 Feb;165(4b):1188-99. doi: 10.1111/j.1476-5381.2011.01595.x.
3
Central acetylcholinesterase inhibition improves hemodynamic counterregulation to severe blood loss in alcohol-intoxicated rats.中枢乙酰胆碱酯酶抑制可改善酒精中毒大鼠对严重失血的血流动力学反调节。
Am J Physiol Regul Integr Comp Physiol. 2009 Aug;297(2):R437-45. doi: 10.1152/ajpregu.00170.2009. Epub 2009 Jun 10.
4
Transient central cholinergic activation enhances sympathetic nervous system activity but does not improve hemorrhage-induced hypotension in alcohol-intoxicated rodents.短暂的中枢胆碱能激活增强交感神经系统活性,但不能改善酒精中毒大鼠出血性低血压。
Shock. 2009 Oct;32(4):410-5. doi: 10.1097/SHK.0b013e31819e2d13.
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The Role of Psychiatry in the Management of Acute Trauma Surgery Patients.精神病学在急性创伤外科患者管理中的作用。
Prim Care Companion J Clin Psychiatry. 2003 Oct;5(5):195-200. doi: 10.4088/pcc.v05n0502.
6
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.

本文引用的文献

1
Alcohol abuse, road trauma, and the role of medical professionals.酒精滥用、道路创伤与医学专业人员的作用。
Bull Am Coll Surg. 1983 Oct;68(10):22-4.
2
Screening for alcohol abuse.酒精滥用筛查。
JAMA. 1980 Oct 3;244(14):1559-60.
3
Alcohol and mortality. A ten-year Kaiser-Permanente experience.酒精与死亡率。凯泽永久医疗集团十年经验。
Ann Intern Med. 1981 Aug;95(2):139-45. doi: 10.7326/0003-4819-95-2-139.
4
Alcoholism: blocks to diagnosis and treatment.酒精中毒:诊断与治疗的障碍
Am J Med. 1981 Aug;71(2):275-86. doi: 10.1016/0002-9343(81)90129-7.
5
Elevation of serum uric acid as a clue to alcohol abuse.血清尿酸升高作为酒精滥用的线索。
Arch Intern Med. 1981 Mar;141(4):477-9.
6
Alcohol consumption in a healthy population. Relationship to gamma-glutamyl transferase activity and mean corpuscular volume.健康人群中的酒精消费。与γ-谷氨酰转移酶活性和平均红细胞体积的关系。
JAMA. 1981 May 1;245(17):1748-51. doi: 10.1001/jama.245.17.1748.