The Significance of Clinical Examination for Brain Lesion Differentiation of Patients with Head Trauma after Alcohol Intoxication

Jung, Yoon Hyun; Jeong, Dong Kil; Lee, Jung Won; Moon, Hyung Jun; Choi, Jae Hyung; Song, Jun Hwan

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자료유형: 학술저널

저자정보: Jung, Yoon Hyun (Department of Emergency Medicine, College of Medicine, Soonchunhyang University) Jeong, Dong Kil (Department of Emergency Medicine, College of Medicine, Soonchunhyang University) Lee, Jung Won (Department of Emergency Medicine, College of Medicine, Soonchunhyang University) Moon, Hyung Jun (Department of Emergency Medicine, College of Medicine, Soonchunhyang University) Choi, Jae Hyung (Department of Emergency Medicine, College of Medicine, Soonchunhyang University) Song, Jun Hwan (Department of Pediatrics, College of Medicine, Soonchunhyang University)

저널정보: 대한외상학회 Journal of trauma and injury : JTI Journal of trauma and injury : JTI 제29권 제4호

발행연도: 2016.1

수록면: 99 - 104 (6page)

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Purpose: There are many patients visited to ED in an alcohol intoxicated state. For these patients, it is difficult to predict by only clinical examination whether he/she would have brain lesion. The purpose of this study is to research whether it is possible to predict brain lesion by only clinical examination findings, with comparing patients with/without actual brain lesions. Methods: A retrospective study was performed at a university hospital for the period 11 months with the medical records. As for the inclusion group, head trauma patients with objectively proved drunk, judging by their blood ethanol concentration, and performed the brain CT were selected. In terms of medical record, Glasgow coma scale (GCS), the presence of neurologic abnormalities, the presence of lesion on brain CT of the patients, were examined. From laboratory results, blood ethanol concentration, platelet count, prothrombin time (PT), activated partial thromboplastin time (aPTT) and glucose concentration were identified. Results: For this study, there were total 80 patients of inclusion group. There was no statistically significant difference in terms of GCS score and neurological examination abnormalities, between the group with brain lesion and the group without brain lesion on brain CT. Conclusion: Alcohol intoxicated patient with head trauma visits the ED, it is not possible to distinguish or determine whether brain lesion exists or not by only clinical findings. In order to check the lesion existence, the image examination, therefore, should be considered and performed.

#Alcoholic intoxication #Craniocerebral trauma #Neurologic examination

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