Miller T W, Geraci E B
College of Applied Sciences and Arts, San Jose State University, Calif, USA.
Int J Trauma Nurs. 1997 Apr-Jun;3(2):50-5. doi: 10.1016/s1075-4210(97)90060-2.
The difficulty of distinguishing between serious head injury and intoxication is presented in the case of an injured patient whose signs and symptoms were attributed to alcohol withdrawal. This report emphasizes the need for a high level of suspicion for all trauma patients, for all health care providers to be familiar with common forms of life-threatening trauma, and how to distinguish between altered levels of consciousness resulting from alcohol intoxication versus intracranial disorders. This case may also demonstrate that a person's wealth and social influence and an institution's orientation to a medical specialty can affect care giver's decisions.
一名受伤患者的体征和症状被归因于酒精戒断，由此呈现出区分严重头部损伤和中毒的困难。本报告强调，所有创伤患者都需要高度怀疑，所有医护人员都要熟悉常见的危及生命的创伤形式，以及如何区分酒精中毒导致的意识水平改变与颅内疾病。该病例还可能表明，一个人的财富和社会影响力以及一个机构对医学专业的定位会影响护理人员的决策。
