39 cases of acute alcohol intoxication Anesthetic Management of Patients.docVIP

 PAGE \* MERGEFORMAT 7 39 cases of acute alcohol intoxication Anesthetic Management of Patients [Keywords:] alcohol poisoning;, surgery,; anesthesia; naloxone; irritable [Keywords:] ethanol intoxication; surgery; anesthesia; naloxone; irritable An object and method 1.1 The target this group of patients 39 (male 35, female 4), with a mean age of 31 (16 ~ 58) years old. Alcohol consumption within 2 h up to those who drink white wine 1000 mL, at least those 150 mL, after injury 15 min ~ 2 h treatment . traffic accident in 16 cases, seven cases of fall injury, assault in 16 cases. including brain trauma in 3 cases, the trunk, limbs fracture and nerve injury in 22 cases of vascular, abdominal trauma in 8 cases, 6 cases of chest trauma. 19 cases of manic excitement, drowsiness 17 cases of coma in 3 patients. combined with shock in 9 cases, 6 cases of respiratory depression, vomiting in 12 cases. All patients underwent surgery. 1.2 Methods Before cleaning up vomit and oropharyngeal secretions, maintain airway patency, respiratory depression if those masks or endotracheal intubation assisted respiration. Gastric intubation gastric lavage, if there is suspected gastrointestinal perforation were only decompression . hemopneumothorax underwent closed thoracic drainage. quickly set up two intravenous infusion, the whole group of intravenous naloxone 0.4 ~ 0.8 mg / time, interval 30 ~ 45 min repeat medication, while expansion of anti-shock, diuretic dehydration, Jicha glucose and electrolyte guide to correct low blood sugar and acid-base disorder. endotracheal intubation anesthesia in 16 cases, 11 cases of epidural anesthesia, brachial plexus block in 12 cases. 2 Results After preoperative treatment 30 ~ 60 min 37 patients were awake, life sign stable, two cases of combined traumatic brain injury is still in a coma. The whole group of perioperative sign of life were stable anesthesia group five cases of delayed recovery, in recovery period of extreme irritability o