有毒酒精中毒重症患者的神经复发症:一个多中心基于人口的队列研究
Danah Abo AlSamh1, Andreas H Kramer2
1Department of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada.
Neurocritical care
|September 11, 2023
概括
甲醇中毒是与有毒酒精有关的ICU入院的最常见原因,并且经常导致神经系统不良结果. 较高的离子间隙表明预后较差,强调需要及时治疗.
科学领域:
- 毒理学 毒理学 毒理学
- 神经学 神经学
- 关键护理医学 关键护理医学
背景情况:
- 毒性酒精中毒是急诊室和重症监护室 (ICU) 常见的入院病例.
- 患者经常表现出意识变化,但神经学并发症和结果差异很大.
研究的目的:
- 描述了神经系统的后果和结果的频谱,在严重病的病人有毒酒精中毒.
- 确定该患者群体中不良结果的预测因素.
主要方法:
- 基于人口的,多中心的回顾性队列研究.
- 包括加拿大阿尔伯塔省ICU (2007-2019) 住院的有毒酒精中毒危急病患者.
- 多变量分析以确定不良结果的预测因素.
主要成果:
- 甲醇中毒是最常见的 (53%),其次是乙烯基醇 (35%) 和异醇 (13%).
- 神经成像异常在甲醇 (38%) 和乙烯糖醇 (25%) 中毒中更为频繁.
- 较差的神经结果 (死亡,认知/视觉障碍) 发生在24%的甲醇中毒病例中,而乙烯糖醇为3%.
结论:
- 甲醇过量是导致需要接受ICU治疗的有毒酒精中毒的主要原因.
- 超过五分之一的甲醇中毒患者经历了严重的神经系统后果或死亡.
- 较大的离子间隙是不良结果的独立预测因素,强调了快速诊断和干预的必要性.
关键词:
酒精 酒精 酒精 酒精 酒精这是一种失明,失明.大脑死亡 大脑死亡脑部胀 脑部胀昏迷的昏迷,一个昏迷的昏迷.过量服用药物过量服用药物过量乙烯基醇是一种乙烯基醇.磁共振成像技术 磁共振成像技术甲醇是甲醇中的一种.毒理学 毒理学 毒理学更多相关视频
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