Dunlop M G, Steedman D J
Arch Emerg Med. 1985 Jun;2(2):73-7. doi: 10.1136/emj.2.2.73.
A 4-month prospective study of intravenous drug abusers attending an accident and emergency department was performed. A total of 92 patients presented with 104 new complaints. Seventy-eight per cent of patients were under 30 years of age and 28% were female. The primary reason for attendance was related to trauma in 30% of attendances, accidental or deliberate overdose in 26% and as a result of infection in 26%. A total of 37% of all attendances resulted in admission and two patients died in the department. Fifty-four patients (58%) had radioimmunoassay performed for hepatitis B markers and there was evidence of past or ongoing infection in 87% of these patients. Only three patients (5.6%) were HBsAg positive at the time of presentation. Accident and emergency staff should be made aware of the pattern of attendance of intravenous drug abusers and the particular problems they present.
对就诊于急诊部的静脉注射吸毒者进行了一项为期4个月的前瞻性研究。共有92名患者出现了104项新的病症。78%的患者年龄在30岁以下，28%为女性。就诊的主要原因中，30%与外伤有关，26%是意外或故意过量用药，26%是感染所致。所有就诊患者中共有37%需要住院，有两名患者在急诊部死亡。54名患者（58%）接受了乙肝标志物的放射免疫测定，其中87%的患者有既往或正在感染的证据。就诊时只有三名患者（5.6%）乙肝表面抗原呈阳性。急诊工作人员应了解静脉注射吸毒者的就诊模式以及他们所呈现的特殊问题。
