Senior J R, Sloan B P
Alcohol Clin Exp Res. 1981 Jan;5(1):6-11. doi: 10.1111/j.1530-0277.1981.tb04857.x.
Because of a general impression that a substantial proportion of emergency medical problems requiring treatment or hospitalization was caused by unsuspected alcohol consumption, a study to question that impression was done on a population of urban emergency service patients. We evaluated blood samples taken from these patients for routine determinations for many reasons other than suspicion of alcohol use or abuse. Abnormalities in results of serum ethanol concentrations were found more frequently than abnormalities of concurrently determined serum electrolytes, urea nitrogen, or glucose. The frequency of abnormalities found was ethanol, 42%; carbon dioxide, 35%; glucose, 34%; chloride, 32%, sodium, 21%; potassium, 20%; and urea nitrogen, 13%. The high incidence of serum ethanol elevations in such hospital emergency service patients and the considerable potential usefulness of ethanol levels in diagnosis and management of a wide variety of medical problems suggest that determinations of stat, timed, serum ethanol concentrations are often indicated as an emergency study for urban populations.
由于人们普遍认为，相当一部分需要治疗或住院的紧急医疗问题是由未被察觉的饮酒所致，因此针对城市急诊患者群体开展了一项研究，以质疑这一观点。出于多种原因，我们对这些患者采集的血样进行了常规检测，并非怀疑他们饮酒或酗酒。血清乙醇浓度结果异常的发现频率高于同时检测的血清电解质、尿素氮或葡萄糖异常的频率。发现的异常频率分别为：乙醇，42%；二氧化碳，35%；葡萄糖，34%；氯化物，32%；钠，21%；钾，20%；尿素氮，13%。此类医院急诊患者血清乙醇升高的高发生率以及乙醇水平在多种医疗问题的诊断和管理中具有相当大的潜在用途，这表明急诊时测定即时、定时的血清乙醇浓度通常适用于城市人群的紧急检查。
