THE RELATIONSHIP BETWEEN ALCOHOL-INTOXICATION, INJURY SEVERITY AND GLASGOW COMA SCORE IN ASSAULT PATIENTS
THE RELATIONSHIP BETWEEN ALCOHOL-INTOXICATION, INJURY SEVERITY AND GLASGOW COMA SCORE IN ASSAULT PATIENTS
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DOI：
10.1016/0020-1383(95)00034-7
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发表时间：
1995-06-01
影响因子：
2.5
通讯作者：
SHEPHERD, JP
中科院分区：
文献类型：
--
作者：
BRICKLEY, MR;SHEPHERD, JP
为了评估酒精中毒对损伤严重程度和头部损伤评估的影响，在242名周末夜间袭击的连续受害者中，血液酒精浓度（BAG）与损伤严重程度（损伤严重程度评分和袭击创伤评分）和格拉斯哥昏迷评分（GCS）相关，其中没有人有堆伤。中毒程度与损伤程度无相关性。BAC与GCS呈高度显著相关。然而，高BAC（大于240 mg/100 ml）仅与GCS降低2-3分相关。GCS正常患者的中位BAC为115 mg/100 ml。神经学评估需要考虑酒精的高度可变性和抑郁效应。
To assess the effect of alcohol intoxication on injury severity and head injury assessment, blood alcohol concentrations (BAG) were related to the severity of injuries (Injury Severity Score and Assault Trauma Score) and Glasgow Coma Scores (GCS) in 242 consecutive victims of weekend night-time assault, none of whom had heap injuries. No correlation was found between degree of intoxication and severity of injury. There was a highly significant correlation between BAC and; GCS. However high BACs (greater than 240mg/100ml) were associated with only a 2-3 point reduction in GCS. The median BAC in patients with a normal GCS was 115 mg/100ml. Neurological assessments need to take account of the highly variable, depressive effects of alcohol.