Although the New Year is almost over, drinking is usually quite common.
Although drunkenness is not good for the body, but drunkenness will also cover up many diseases, causing misdiagnosis, which is more dangerous. The most direct victim of misdiagnosis is the drunkard. Therefore, even if you can't quit drinking, you must also avoid getting drunk.
Let's talk about the fact that drunkenness can delay the diagnosis of the disease. Our 1 case was almost a bit worse, and the doctor saw it.
This is 1 case encountered in the emergency department in the early years.
The patient is a young man in his 20s. When he was taken to the emergency room at night, he was already in a coma. According to the colleague who sent the patient, he drank 1 bottle of red wine and was drunk.
A patient who is intoxicated and comatose? The doctor did not think that he was drunk, or seriously checked the body.
The examination found that the patient was in a deep coma, the muscles of the whole body were relaxed, the breathing was relatively weak, and when the pupil was found, the doctor felt that it was wrong, and the bilateral pupils were reduced to the size of the needle tip, which was inconsistent with the pupillary changes during alcoholism.
If only a medical student saw this sentence, he would know the weight. The pupil is reduced to the size of the tip of the needle, which generally indicates that there is a lesion in the pontine brain of the brainstem part, and then there is poisoning, drug poisoning, and barbiturate sleeping pill poisoning can make the pupil shrink to the size of the needle tip. Organophosphorus poisoning pupils can also be narrowed, but other aspects of the manifestations are obvious, not like this is just a deep coma.
Taking medicine and drinking alcohol make drug absorption and poisoning more severe, while drunkenness masks drug poisoning.
Doctors highly suspect drug poisoning.
Next, the doctor did the following treatment: on the one hand, blood was drawn for drug toxicity identification, on the other hand, intracranial lesions were checked and excluded, and on the other hand, while maintaining basic life indications, contacted the nephrology department for hemodialysis. Because at that time, there was no naloxone that could excite the respiratory center, prevent alcohol, sleeping pills and other drugs that inhibit the center, and hemodialysis could penetrate the drug. At the same time, it is to ask colleagues to go to the dormitory to find out if there are medicine bottles or the like, because the identification of drug poisons in the blood also takes time.
Soon, colleagues in the unit found the bottle of sleeping pills in the patient's dormitory. Here, after excluding intracranial lesions, hemodialysis was also done. The next day, everything went back to normal. Drug toxicity identification of the blood has also determined sleeping drug poisoning.
Drunkenness can cause illness or mask it.
For example, drunkenness and cerebrovascular diseases such as cerebral hemorrhage, cerebral infarction, drunkenness and hypoglycemic coma have been reported in cases where diagnosis and rescue have been mistaken for drunkenness and delayed diagnosis and rescue.
Alcohol can interact with many drugs, or the manifestation of drunkenness can mask the effects of the drug, just like this patient.
Drinking alcohol + taking sleeping pills: drunkenness or sleeping pills can inhibit the central nervous system, alcohol can strengthen the effect of sleeping pills to cause serious central depression, the occurrence of deep coma, respiratory, heartbeat inhibition, severe can lead to death.
Drinking + taking hypoglycemic drugs: Alcohol metabolism in the body itself can cause hypoglycemia, while increasing the hypoglycemic effect of hypoglycemic drugs and leading to hypoglycemia, severe hypoglycemia is fatal. Also, alcohol and sulfonylureas can have a "disulfiram-like reaction" ("cephalosporins, just go away", Doctor: these drugs can't be drunk except cephalosporins!). ）。
Drinking alcohol + taking antihypertensive drugs: alcohol has the effect of dilating blood vessels, and can strengthen the antihypertensive effect of antihypertensive drugs, resulting in excessive reduction of blood pressure, and too low blood pressure will lead to insufficient blood perfusion of tissues and organs.
Alcohol consumption + taking nitrates (commonly used for heart disease): it is also a marked dilation of blood vessels and a decrease in blood pressure.
Drinking + taking aspirin: Alcohol can irritate and damage the gastric mucosa, and drinking alcohol in people taking aspirin increases the risk of gastrointestinal bleeding.
Among them, the most dangerous is that people often take the central inhibition, coma, hypotension, hypoglycemia, etc. after taking drugs and drinking, mistakenly thinking that they are drunk and allowing themselves to sober up, missing the opportunity for rescue.
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