CAJ | 학술논문

目的对社区医疗机构急性乙醇中毒患者临床资料进行分析总结. 方法选取2004年1月-2008年12月共收治的急性乙醇中毒患者626例为研究对象,通过相关资料进行回顾性分析,提出急性乙醇中毒的诊治措施、社区干预和转诊条件. 结果主要临床表现有恶心、呕吐599例(95.7%),神志异常599例(95.7%),合并上消化道出血203例(32.4%),发生心律失常21例(3.4%),合并外伤9例(1.4%),合并急性胰腺炎1例(0.2%).经社区医疗机构急诊治疗痊愈614例(98.1%)转诊12例(1.9%),转诊追踪得知死亡1例,病死率为0.16%. 结论社区医疗机构急性乙醇中毒处理效果好,但是要掌握转诊时机,以免延误病情.
목적 대사구의료궤구급성을순중독환자림상자료진행분석총결. 방법 선취2004년1월-2008년12월공수치적급성을순중독환자626례위연구대상,통과상관자료진행회고성분석,제출급성을순중독적진치조시、사구간예화전진조건. 결과 주요림상표현유악심、구토599례(95.7%),신지이상599례(95.7%),합병상소화도출혈203례(32.4%),발생심률실상21례(3.4%),합병외상9례(1.4%),합병급성이선염1례(0.2%).경사구의료궤구급진치료전유614례(98.1%)전진12례(1.9%),전진추종득지사망1례,병사솔위0.16%. 결론 사구의료궤구급성을순중독처리효과호,단시요장악전진시궤,이면연오병정.
Objective To analyze acute alcoholism in community medical institutions.Methods A total of 626 acute alcoholism patients admitted from Jan 2004 to Dec 2008 were enrolled as research subjects.A retrospective analysis was performed on related information to provide measures for diagnosis and treatment,community intervention and referral.Results The main manifestations were nausea and vomiting(599 cases,95.7%),abnormal state of mind (599 cases,95.7%),combined with upper gastrointestinal bleeding (203 cases,32.4%),arrhythmia (21 cases,3.4%),complicated by trauma (9 cases,1.4%),by acute pancreatitis (1 case,0.2%).Twelve patients were transferred(1.9%),and 1 died,with a fatality rate of 0.16% .Conclusion Acute alcoholism treated in community mediccal insititution is effective,however,chance of transfer treatment should be handled well.