| Autor: |
Craft PP; Department of Surgery, East Carolina University School of Medicine, Greenville, NC 27858., Foil MB, Cunningham PR, Patselas PC, Long-Snyder BM, Collier MS |
| Jazyk: |
angličtina |
| Zdroj: |
Southern medical journal [South Med J] 1994 Jan; Vol. 87 (1), pp. 47-54. |
| DOI: |
10.1097/00007611-199401000-00011 |
| Abstrakt: |
Traumatic injury frequently follows alcohol abuse. Between October 1, 1988 and January 31, 1992, 2,219 patients were admitted to the Trauma Service at the University Medical Center of Eastern Carolina-Pitt County. Of the 1,602 who were tested for serum ethanol, 685 (43%) were found to have measurable levels. Thirty-seven patients had alcohol withdrawal and were treated with intravenous ethanol; 34 were male (21 black, 13 white) and 3 female (1 black, 2 white), with an average age of 46 years. Those who had withdrawal had an average serum ethanol level, on presentation, of 239 mg/dL (N = 34). Fourteen patients were involved in motor vehicle crashes, seven were pedestrians struck by cars, and the remaining 16 had various traumatic mechanisms of injury. The most common injuries were long-bone fractures and blunt abdominal trauma. The length of ethanol therapy averaged 4 days. A majority of patients had a favorable response to treatment. Relative contraindications to i.v. ethanol therapy were CNS trauma, liver disease, and pancreatitis. i.v. ethanol is a safe and effective method of alcohol detoxification in the trauma patient. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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