THE INFLUENCE OF ETHANOL INTOXICATION ON OUTCOME OF INJURED MOTORCYCLISTS
THE INFLUENCE OF ETHANOL INTOXICATION ON OUTCOME OF INJURED MOTORCYCLISTS
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DOI：
10.1097/00005373-198408000-00001
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发表时间：
1984-01-01
影响因子：
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通讯作者：
ORESKOVICH, MR
中科院分区：
文献类型：
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作者：
LUNA, GK;MAIER, RV;ORESKOVICH, MR
先前的报告未能证明在复苏良好的创伤患者中急性乙醇中毒的统计学显著不良反应。在本研究中，急性酒精中毒的患病率及其对结果的影响进行了分析，在一个同质的年轻人，以前健康的摩托车事故受害者（N= 134）。中毒发生率为25%。醉酒的骑车人比未醉酒的骑车人多出50%的事故，戴头盔的频率是未醉酒骑车人的三分之一。此外，在非中毒组中看到的头盔使用的保护作用在中毒组中消失了，他们头部受伤的频率是前者的两倍。只有严重头部损伤的患者死亡，尽管两组死亡患者的ISS水平相似，但严重头部损伤后的死亡率是中毒患者的两倍（80 vs. 43%）。总的来说，中毒组的死亡率增加了四倍。因此，尽管醉酒摩托车手占总人口的25%，但他们仅占戴头盔人口的9%，相比之下，39%的严重头部受伤受害者和大多数（57%）死亡率。
Previous reports have failed to demonstrate a statistically significant adverse effect of acute ethanol intoxication in the well-resuscitated trauma patient. In the present study the prevalence of acute alcohol intoxication and its effect on outcome was analyzed in a homogenous population of young, previously healthy motorcycle accident victims (N= 134). The incidence of intoxication was 25%. The intoxicated cyclists were at fault for the accident 50% more often than the nonintoxicated cyclists and were found to wear helmets one third as frequently. Furthermore, the protective effect of helmet use as seen in the nonintoxicated group was lost in the intoxicated group, who sustained head injuries twice as frequently. Only patients with critical head injuries died and, although the ISS levels of those dying were similar in the two groups, the mortality following the critical head injury was twice as high among intoxicated patients (80 vs. 43%). Overall, the intoxicated group had a fourfold increased mortality rate. Thus, although intoxicated motorcyclists comprised 25% of the total population, they represent a mere 9% of the helmet-wearing population, and, in contrast, 39% of the severely head-injured victims and a majority (57%) of the mortality rate.