醉酒后摩托车驾驶致颅脑损伤的临床诊治

CHARACTERISTICS OF CEREBRAL INJURY CAUSED BY ALCOHOL-RELATED MOTORCYCLE TRAFFIC ACCIDENTS

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。

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 raisdiagnosis, and mortality.