Ksiazkiewicz B, Bloch-Bogusławska E
Katedry i Kliniki Neurologii Akademii Medycznej w Bydgoszczy.
Pol Merkur Lekarski. 1998 Mar;4(21):166-8.
About 20% of patients treated because of craniocerebral injuries are those after an alcohol intake. Great number of these patients slightly bodily injured without any focal cerebral deficit are stopped by police. The effects of injuries masked by the picture of alcohol intoxication are developed during that time. Published data and authors of this paper observations show that atypical clinical picture, lack of typical, specific disturbances of cerebral function make diagnosing of the effect of craniocerebral injuries difficult. To avoid diagnostic errors in inebriate patients with head injuries, the degree of cerebral function disturbances together with life-threatening risk factors should be carefully evaluated. Afterwards the range of diagnostic methods can be established. If the wide range of diagnostics is not necessary, patients should be observed over the period of a few hours. The authors present original 63-points Scale of Brainstem Insufficiency (ITC). This ITC scale assesses: consciousness, the whole body movements, vegetative functions (breath temperature, blood pressure, pulse), pupils and eye movements movements. This scale can be used for evaluation of global cerebral function disturbances observed in not only craniocerebral injuries but in alcohol intoxication as well.
因颅脑损伤接受治疗的患者中，约20%是饮酒后受伤的。这些患者中，大量身体轻度受伤且无任何局灶性脑功能缺损的人被警方拦下。在此期间，酒精中毒掩盖下的损伤影响逐渐显现。已发表的数据和本文作者的观察表明，非典型的临床表现、缺乏典型的特异性脑功能障碍使得诊断颅脑损伤的影响变得困难。为避免对醉酒头部受伤患者的诊断错误，应仔细评估脑功能障碍程度以及危及生命的危险因素。之后才能确定诊断方法的范围。如果不需要广泛的诊断，应对患者进行数小时的观察。作者提出了原创的63分脑干功能不全量表（ITC）。该ITC量表评估：意识、全身运动、植物神经功能（呼吸、体温、血压、脉搏）、瞳孔和眼球运动。该量表不仅可用于评估颅脑损伤中观察到的整体脑功能障碍，也可用于评估酒精中毒中的脑功能障碍。
