CAJ | 학술논문

目的探讨醉酒后摩托车驾驶所致颅脑外伤病人的临床特点及误诊原因.方法对43例醉酒驾驶摩托车导致颅脑损伤者,给予及时的院前急救,入院后予纳洛酮进行催醒治疗,所有伤者及早进行头颅CT检查和其他部位的辅助检查,对重伤患者及时进行手术治疗.结果 43例全部为醉酒后驾驶摩托车所致的交通意外,单纯型颅脑外伤26例;重型颅脑外伤17例.其中复合伤5例,占11.6%,延误诊断6例,占13.95%,死亡5例,占11.6%.31例经保守和手术治疗愈合,7例有不同程度的肢体功能障碍.38例经半年随访,其中3例有反复发作的癫痫.结论醉酒后摩托车交通意外易致颅脑损伤.及时进行CT头颅检查和应用纳络酮治疗,可以提高治愈率,降低误诊率和死亡率.
목적 탐토취주후마탁차가사소치로뇌외상병인적림상특점급오진원인.방법 대43례취주가사마탁차도치로뇌손상자,급여급시적원전급구,입원후여납락동진행최성치료,소유상자급조진행두로CT검사화기타부위적보조검사,대중상환자급시진행수술치료.결과 43례전부위취주후가사마탁차소치적교통의외,단순형로뇌외상26례;중형로뇌외상17례.기중복합상5례,점11.6%,연오진단6례,점13.95%,사망5례,점11.6%.31례경보수화수술치료유합,7례유불동정도적지체공능장애.38례경반년수방,기중3례유반복발작적전간.결론 취주후마탁차교통의외역치로뇌손상.급시진행CT두로검사화응용납락동치료,가이제고치유솔,강저오진솔화사망솔.
Objective To explore the clinical characteristics and misdiagnosis causes associated with alcohol-related motorcycle traffic accidents.Method All patients were given pre-hospital care,treated with naloxone hydrochloride in hospital,and underwent the CT and other examinations.Serious cerebral injuries were operated timely.Result 43 patients suffered from the traffic accident caused by alcohol-related motorcycle.26 of them had simple cerebral injury;17 were serious.5 of all patients were companied by complex injury,6 were delayed accurate diagnosis,and 5 were dead.Conclusion Motorcycle traffic accidents related alcohol result in easily the cerebral injury,and combined injury has high incidences.All patients should be examined CT and treated as soon as possible so as to improve prognosis,decrease the misdiagnosis,and mortality.