酒精与急诊患者
Alcohol and the emergency service patient.
作者信息
Holt S, Stewart I C, Dixon J M, Elton R A, Taylor T V, Little K
出版信息
Br Med J. 1980 Sep 6;281(6241):638-40. doi: 10.1136/bmj.281.6241.638.
Abstract
To determine the prevalence of alcohol use in casualty patients breath-alcohol analysis was performed on 702 patients attending the accident and emergency department of a large teaching hospital during the evening. Forty per cent of patients had consumed alcohol before attending and 32% had a blood alcohol concentration exceeding 17.4 mmol/l (80 mg/100 ml). Clinical assessment of intoxication resulted in a false-negative diagnosis in 10% of inebriated patients, indicating that an objective measurement of the blood alcohol concentration by a test, such as breath-alcohol analysis, may be of additional value. These findings confirm that a high proportion of emergency-service patients are affected by alcohol and suggest that alcoholism treatment facilities need to be integrated with accident and emergency services.
摘要
为确定急症患者中酒精使用的患病率，对一家大型教学医院急诊部晚上就诊的702名患者进行了呼气酒精分析。40%的患者在就诊前饮酒，32%的患者血液酒精浓度超过17.4毫摩尔/升（80毫克/100毫升）。对中毒的临床评估在10%的醉酒患者中导致假阴性诊断，这表明通过呼气酒精分析等检测对血液酒精浓度进行客观测量可能具有额外价值。这些发现证实，很大一部分急诊患者受到酒精影响，并表明酒精中毒治疗设施需要与急诊服务相结合。
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