Brismar B, Engström A, Rydberg U
Acta Chir Scand. 1983;149(1):11-4.
One hundred patients admitted to a surgical clinic with a diagnosis of concussion of the brain were studied regarding the abuse of alcohol and narcotic drugs. 58% of the patients were assessed as intoxicated on admission. Psychiatric evaluation revealed a history of alcohol dependence in 43 of the patients and experience of narcotic drugs in 25. Forty-six of the patients reported recurrent defects of memory and nine suffered from epilepsy. Amnesia therefore seems to be a factor of limited diagnostic value in concussion of the brain. Because of diagnostic difficulties, in patients with alcohol intoxication a more liberal attitude towards cranial X-ray and CT-scanning will be justified. Blood ethanol determination, measurement of blood gamma glutamyl transpeptidase and the mean blood corpuscular volume are clinically important to elucidate the etiology in patients with head injury. Active rehabilitative measures should be initiated in collaboration between the surgeon, psychiatrist and social worker to prevent post-concussional syndromes.
对100名因脑震荡诊断而入住外科诊所的患者进行了关于酒精和麻醉药物滥用情况的研究。58%的患者入院时被评估为醉酒状态。精神病学评估显示，43名患者有酒精依赖史，25名患者有麻醉药物使用经历。46名患者报告有反复的记忆缺陷，9名患者患有癫痫。因此，失忆在脑震荡中似乎是一个诊断价值有限的因素。由于诊断困难，对于酒精中毒患者，对头颅X线和CT扫描采取更宽松的态度是合理的。血液乙醇测定、血液γ-谷氨酰转肽酶测量和平均红细胞体积在阐明头部受伤患者的病因方面具有临床重要性。外科医生、精神科医生和社会工作者应合作启动积极的康复措施，以预防脑震荡后综合征。
