[Special features of correction of hyperosmolar alcoholic syndrome in injured patients]

Hyperosmolar alcoholic syndrome in traumatologic patients, admitted to a hospital in a state of alcoholic intoxication, is not unusual. Recommended treatment of this state is based on correction of metabolic acidosis, forced diuresis and normovolemic hemodilution with the help of hyperoncotic solutions. In the process of examination of 94 patients have been revealed increase of osmolarity due to high content of blood alcohol, decrease of sodium concentration and increase of colloid-osmotic pressure level, connected with inadequate autohemodilution. In these patients pathogenetically justified is the use of hypotonic solutions of glucose-novocaine mixture, ensuring immediate replacement of extra- and intracellular water space deficiencies of organism, that made possible to abandon application of forced diuresis, metabolic acidosis correction and costly hyperoncotic solutions.