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急性酒精中毒175例急诊诊治分析
引用本文:徐佐旭,曾玉芳. 急性酒精中毒175例急诊诊治分析[J]. 河北医学, 2008, 14(3): 337-339
作者姓名:徐佐旭  曾玉芳
作者单位:广东省汕头市濠江区人民医院,广东汕头,515071;广东省汕头市濠江区人民医院,广东汕头,515071
摘    要:
目的:探讨急性酒精中毒的急诊诊治。方法:对2004年5月至2007年11月期间的175例急性酒精中毒急诊的临床表现、治疗经过进行回顾性分析。结果:临床表现:主要为神志异常、恶心呕吐、上消化道出血。诊断:饮酒过量史结合临床表现。治疗:早期足量纳络酮联合生脉注射液促醒,胃复安止呕,法莫替丁及奥美拉唑治疗上消化道出血。175例全部经急诊处理痊愈出院。结论:急性酒精中毒只要在急诊根据饮酒过量史及临床表现及时诊断,早期足量纳络酮联合生脉注射液促醒和合理对症治疗,预后较好,通过急诊处理即可治愈。

关 键 词:急性酒精中毒  急诊  临床表现  治疗
文章编号:1006-6233(2008)03-0337-03

Analyzing the diagnwosis and Treatment of 175 Cases Acute Alcoholism
XU Zuo-xu,ZENG Yu-fang. Analyzing the diagnwosis and Treatment of 175 Cases Acute Alcoholism[J]. Hebei Medicine, 2008, 14(3): 337-339
Authors:XU Zuo-xu  ZENG Yu-fang
Abstract:
Objective: To study the emergency treatment for acute alcoholism.Method: We analyzed the clinical symptom of 175 cases acute alcoholism.Result: The clinical symptom was mainly consciousness disorder,nausea and vomiting and upper digestive tract hemorrhage.The imagination was over drinking with symptom.Then they were treated with enough naloxone and shengmai injection to wake premate,metochopramide antiemetic,famotidine and omeprazole for upper digestive tract hemorrhage.All 175 cases were cured after emergent treatment.Conclusion: The acute alcoholism case was with good prognosis after treating with enough naloxone and shengmai injection once diagnosed.
Keywords:Acute alcoholism  Emergency  Clinical symptom  Treatment
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