摘要
本文报告49例醉酒后颅脑外伤。均为男性,重型脑外伤22例,颅内血肿25例,误诊19例,总死亡率22.4%。探讨了醉酒对中枢神经系统、脑血流、脑脊液的影响,并分析了误诊的原因。指出醉酒后中枢神经系统的抑制加以脑外伤的意识障碍是造成误诊的重要原因。由于本组病人重型脑外伤、颅内血肿及合并伤的发生率均高于一般脑外伤,再加上醉酒改变脑外伤的病程,并发症多,结局往往不良。作者认为入院后6、12、24小时分别作仔细的意识评定对减少误诊,改善生存率有重要意义。
Forty-nine cases of head injury after alcohol intoxication were analysod. All were male with 22 cases of severe head injury and 25 intracranial hematoma. Nineteen cases were misdiagnosed and the mortality was 22.4%. the influence of alcoahol intoxication on central nervous system(CNS), cerebral blood flow and CSF were discussed. The depression of CNS after intoxication and unconciousness after head injury are important factors leading to misdiagnosis. Owing to the higher incidencce of severe head injury, intracranial hematoma and complex trauma in these patients than those without intoxication, the prognosis is poor. Careful evaluation of conciousness of patient at 6, 12, 24hr after admission is important for decreasing misdiagnosis and mortality.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1991年第1期18-19,共2页
Chinese Journal of Trauma
关键词
脑外伤
醉酒
误诊
alcohol intoxication brain injuries consciousness disorders diagnostic crrors.
