Alcohol and the emergency service patient.
Alcohol and the emergency service patient.
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酒精和紧急服务病人。
DOI：
10.1136/bmj.281.6241.638
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发表时间：
1980
影响因子：
--
通讯作者：
K. Little
中科院分区：
文献类型：
--
作者：
S. Holt;I. C. Stewart;J. Dixon;R. Elton;T. Taylor;K. Little
为了确定伤员中酒精使用的流行率，对一家大型教学医院急诊科的702名患者进行了呼气酒精分析。40%的患者在就诊前饮酒，32%的患者血液酒精浓度超过17.4 mmol/l（80 mg/100 ml）。中毒的临床评估导致10%的醉酒患者出现假阴性诊断，这表明通过测试（如呼气酒精分析）客观测量血液酒精浓度可能具有额外价值。这些研究结果证实，很高比例的紧急服务患者受到酒精的影响，并建议酗酒治疗设施需要与事故和紧急服务相结合。
To determine the prevalence of alcohol use in casualty patients breath-alcohol analysis was performed on 702 patients attending the accident and emergency department of a large teaching hospital during the evening. Forty per cent of patients had consumed alcohol before attending and 32% had a blood alcohol concentration exceeding 17.4 mmol/l (80 mg/100 ml). Clinical assessment of intoxication resulted in a false-negative diagnosis in 10% of inebriated patients, indicating that an objective measurement of the blood alcohol concentration by a test, such as breath-alcohol analysis, may be of additional value. These findings confirm that a high proportion of emergency-service patients are affected by alcohol and suggest that alcoholism treatment facilities need to be integrated with accident and emergency services.