醉酒后合并颅脑损伤563例临床分析

Clinical observation of 563 patients complicated Traumatic Brain Injury after Ethanol Intoxication

目的总结563例醉酒后合并颅脑损伤病人的临床特点及诊治体会。方法回顾性分析本科室收治的醉酒后颅脑损伤563例。结果本组延误诊断5例,占总数的0.89%。出院时按格拉斯哥昏迷预后评分(GOS):良好535例(95.0%),中残13例(2.3%),重残5例(0.9%),植物生存2例(0.4%),死亡8例(1.4%)。结论提高对醉酒后合并颅脑损伤的认识,通过体检,保持呼吸道通畅,重视瞳孔观察,及时复查颅脑CT,可明显降低误诊率,提高醉酒后合并颅脑损伤的治愈率,降低致残率及死亡率。

Objective To summarize the clinical characteristics and the treatments of 563 cases with traumatic brain injury complicated by ethanol intoxication. Methods 563 patients with traumatic brain injury after ethanol intoxication were analyzed retrospectively in our department. Results 5 cases were delayed diagnosis in this group, accounting for the total 0. 89%. Clinical result was assessed according to the GOS. Of all these patients, 535 cases made a good recovery （95.0%）, 13 cases were left with moderate disabilities （2.3%）, 5 cases were severely disabled （0. 9%）, 2 cases were left in a persistent vegeta tive state （0.4%）, and 8 cases were dead （1.4%）. Conclusion For decreasing the rate of delayed treatment and the rate of crippling and mortality, so as to raise the cure rate of the complicated Traumatic Brain Injury after Ethanol Intoxication, it is vital for doctors to improve their understanding between ethanol intoxication and traumatic brain injury, in addition to, usual physical examination, maintaining the respiratory tract unobstructed, paying attention to pupil observation and prompt reexamination skull CT is all absolutely necessary.