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目的探析酒精中毒合并颅脑损伤患者的临床表现及误诊原因。方法选取该院2013年3月—2014年3月符合标准的急性酒精中毒合并颅脑损伤患者16例,对其入院时临床症状既往病史及检查结果等资料进行分析并对误诊情况进行统计并总结。结果 16例病例初始时均拟为急性酒精中毒,最后由颅脑CT确诊并治愈。结论针对急性中毒合并颅脑损伤的患者应进行全面详细的检查并通过药物将乙醇对大脑的影响拮抗后观察其是否存在其他病变,降低误诊率。向家属询问既往史及发病原因的同时,医务人员应对酒精中毒与颅脑损伤间的关系有全面正确的认识,在详细观察病情并完善各项体征及影像学、实验室检查后根据结果进行判断。对提高疾病诊断效率,及时进行治疗,降低患者死亡率并促进其预后恢复具有重要意义。
Objective To investigate the clinical manifestations and causes of misdiagnosis in patients with alcoholism and craniocerebral injury. Methods From March 2013 to March 2014, 16 patients with acute alcohol intoxication and brain injury in our hospital were selected. The clinical history of the symptoms and the results of the examination were analyzed at the time of admission and statistics were made on the misdiagnosis . Results 16 cases were initially considered as acute alcoholism, and finally confirmed by brain CT and cured. Conclusion For patients with acute poisoning and craniocerebral injury, comprehensive and detailed examination should be carried out and the effects of ethanol on the brain are antagonized by drugs to observe whether there are other lesions and reduce the misdiagnosis rate. Family members to ask the past history and cause of the same time, medical staff should be alcoholic and craniocerebral injury with a comprehensive understanding of the relationship between the detailed observation of the disease and improve the signs and imaging, laboratory tests based on the results to judge . To improve the efficiency of disease diagnosis, timely treatment, reduce patient mortality and promote their prognosis recovery is of great significance.