Alcohol-Related Seizures

被引：9

作者：

McMicken, David

Liss, Jonathan L.

机构：

[1] Department of Emergency Services, The Medical Center, Columbus, GA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2011年 / 29卷 / 01期

关键词：

Seizures; Alcohol withdrawal; Benzodiazepines; CONVULSIVE STATUS EPILEPTICUS; EMERGENCY-DEPARTMENT; WITHDRAWAL SYNDROMES; DELIRIUM-TREMENS; FOSPHENYTOIN; PHENYTOIN; MANAGEMENT; LORAZEPAM; PREVENTION; DIAZEPAM;

D O I：

10.1016/j.emc.2010.08.010

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The term alcohol-related seizures (ARS) is used to refer to all seizures in the aggregate associated with alcohol use, including the subset of alcohol withdrawal seizures (AWS). From 20% to 40% of patients with seizure who present to an emergency department have seizures related to alcohol abuse. However, it is critical to avoid prematurely labeling a seizure as being caused by alcohol withdrawal before performing a careful diagnostic evaluation. Benzodiazepines alone are sufficient to prevent AWS. The alcoholic patient with a documented history of ARS, who experiences a single seizure or a short burst of seizures should be treated with lorazepam, 2 mg intravenously.

引用

页码：117 / +

页数：9