CAJ | 학술논문

目的：探讨乙醇中毒致低血糖昏迷患者的急救与护理措施。方法回顾性分析我院急诊科自2013年12月～2014年12月收治乙醇中毒致低血糖昏迷患者30例，对患者的临床表现进行分析总结，归纳全程急救与护理措施。结果乙醇中毒致低血糖昏迷患者临床主要表现为呼气有乙醇气味、昏迷，神经检查双膝反射亢进，病理反射阳性，实验室检查指标表现为尿酮体水平高，血糖含量低，给予积极急救与护理措施，30例患者在治疗2～10小时酒精中毒症状消失，无一例死亡病例发生，均治愈，康复出院。结论对于乙醇中毒致低血糖昏迷患者要结合临床症状和体征，做到准确诊断，给予及时急救与护理措施，取得良好的临床效果。
목적：탐토을순중독치저혈당혼미환자적급구여호리조시。방법회고성분석아원급진과자2013년12월～2014년12월수치을순중독치저혈당혼미환자30례，대환자적림상표현진행분석총결，귀납전정급구여호리조시。결과을순중독치저혈당혼미환자림상주요표현위호기유을순기미、혼미，신경검사쌍슬반사항진，병리반사양성，실험실검사지표표현위뇨동체수평고，혈당함량저，급여적겁급구여호리조시，30례환자재치료2～10소시주정중독증상소실，무일례사망병례발생，균치유，강복출원。결론대우을순중독치저혈당혼미환자요결합림상증상화체정，주도준학진단，급여급시급구여호리조시，취득량호적림상효과。
ObjectiveTo investigate the first aid and nursing care for the patients with hypoglycemia induced by ethanol poisoning.Methods 30 cases of patients with hypoglycemia caused by alcohol poisoning from December 2013 to December 2014 were retrospectively analyzed. The clinical manifestations were analyzed and summarized, and the whole course of emergency treatment and nursing measures were summarized. ResultsAlcohol poisoning induced hypoglycemic coma were the main clinical manifestations for breath alcohol scent, coma, neurological examination double knee jerk hyperreflexia and pathological reflex positive index of laboratory examination showed urine ketone body levels, blood sugar content low, giving positive first-aid and nursing measures, 30 patients in the treatment of 2 to 10 hours of alcohol poisoning symptoms disappeared, no deaths occurred and were cured and discharged.Conclusion For the patients with hypoglycemic coma caused by ethanol poisoning, the clinical symptoms and signs should be combined, so that the accurate diagnosis can be made.