社区医疗机构急性乙醇中毒626例分析

Analysis of 626 Cases of Acute Alcoholism in Community Medical Institutions

目的对社区医疗机构急性乙醇中毒患者临床资料进行分析总结。方法选取2004年1月—2008年12月共收治的急性乙醇中毒患者626例为研究对象,通过相关资料进行回顾性分析,提出急性乙醇中毒的诊治措施、社区干预和转诊条件。结果主要临床表现有恶心、呕吐599例(95.7%),神志异常599例(95.7%),合并上消化道出血203例(32.4%),发生心律失常21例(3.4%),合并外伤9例(1.4%),合并急性胰腺炎1例(0.2%)。经社区医疗机构急诊治疗痊愈614例(98.1%)转诊12例(1.9%),转诊追踪得知死亡1例,病死率为0.16%。结论社区医疗机构急性乙醇中毒处理效果好,但是要掌握转诊时机,以免延误病情。

Objective To analyze acute alcoholism in community medical institutions.Methods A total of 626 acute alcoholism patients admitted from Jan 2004 to Dec 2008 were enrolled as research subjects.A retrospective analysis was performed on related information to provide measures for diagnosis and treatment,community intervention and referral.Results The main manifestations were nausea and vomiting（599 cases,95.7%）,abnormal state of mind （599 cases,95.7%）,combined with upper gastrointestinal bleeding （203 cases,32.4%）,arrhythmia （21 cases,3.4%）,complicated by trauma （9 cases,1.4%）,by acute pancreatitis （1 case,0.2%）.Twelve patients were transferred（1.9%）,and 1 died,with a fatality rate of 0.16%.Conclusion Acute alcoholism treated in community mediccal insititution is effective,however,chance of transfer treatment should be handled well.