Grumet G W
Gen Hosp Psychiatry. 1981 Jun;3(2):135-9. doi: 10.1016/0163-8343(81)90055-4.
Alcoholism exists in alarming numbers of medical and surgical patients, often adding significant difficulties to their hospital management. Patient experiencing delirium tremens are known to exhibit irrational behavior, such as attempts to escape the hospital by any available means. Two cases of surgical patients at Rochester General Hospital who jumped from windows are discussed. These cases are reviewed closely, revealing deficiencies in history taking, errors in pharmacotherapy, and lapses in nurse-physician communication. The psychiatric consultant is alerted to a potential role in helping his medical and surgical colleagues avert disasters such as those described.
酗酒在大量内科和外科患者中存在，这常常给他们的住院治疗增添重大困难。已知经历震颤谵妄的患者会表现出非理性行为，比如试图想尽一切办法逃离医院。本文讨论了罗切斯特综合医院两名外科患者跳楼的案例。对这些案例进行了仔细回顾，发现病史采集存在缺陷、药物治疗有误以及护士与医生沟通存在失误。提醒精神科会诊医生注意其在帮助内科和外科同事避免此类所述灾难方面的潜在作用。
