澳大利亚John Murtagh全科病案研究(四十七)——一位62岁男病人酒后头部损伤

Case Studies of John Murtagh(47)——Head Injuries in A 62 Year Old Man Affected by Alcohol

《Murtagh'sGeneral Practice》中译本已在2010年岁末出版发行。"澳大利亚John Murtagh全科病案研究"自2008年开始在《中国全科医学》杂志连续刊登以来,受到了广大中国全科医生的关注和好评。Murtagh教授每一个娓娓道来的病案都是他毕生宝贵工作经验的精华,是为《中国全科医学》杂志专门撰写,是中国全科医生前进的导航和指引。本期JohnMurtagh教授给我们讲述了一位62岁男病人酒后头部损伤的病例。澳大利亚Monash大学杨辉教授对本文进行了翻译点评,以飨我国读者。在此衷心感谢Murtagh教授和担任本栏目翻译点评工作的杨辉教授对中国全科医学发展给予的大力支持和帮助!

1 History ZX, a 62 year old man, was brought into the emergency room by his friends because he was intoxicated from alcohol and had sus- tained injuries from a fall onto the footpath. Prior to this he had been argumentative and had a fight with two younger men. According to his friends he was a very pleasant and clever public servant but had a history of binge drinking of beer and spirits. Now they were most concerned about him since he had become uncharacteristically con- fused and unable to walk normally. About an hour previously and soon after his fall he had been conversing with them and seemed well orientated but gradually became irritable, confused and disori- entated.