| 醉酒后摩托车驾驶致颅脑损伤的临床诊治 |
| |
| 引用本文： | 蔡新琦,崔华中,黄铿,韩溟,蔡桂嘉,陈泽锋. 醉酒后摩托车驾驶致颅脑损伤的临床诊治[J]. 现代医院, 2009, 9(8): 13-14. DOI: 10.3969/j.issn.1671-332X.2009.08.007 |
| |
| 作者姓名： | 蔡新琦 崔华中 黄铿 韩溟 蔡桂嘉 陈泽锋 |
| |
| 作者单位： | 汕头大学医学院第二附属医院,广东汕头,515041 |
| |
| 摘 要： | 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。
|
| 关 键 词： | 醉酒 交通意外 颅脑外伤 |
CHARACTERISTICS OF CEREBRAL INJURY CAUSED BY ALCOHOL-RELATED MOTORCYCLE TRAFFIC ACCIDENTS |
| |
| Affiliation: | CAI Xinqi, CUI Huazhong, HUANG Keng, et al( Department of Emergency, The Second Affiliated Hospital, Medical College of Shantou University, Shantou City, Guangdong Province 515041 PRC) |
| |
| Abstract: | 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. |
| |
| Keywords: | Drunkenness Traffic accidents Cerebral injury |
| 本文献已被 维普 万方数据 等数据库收录！ |
|
