Alcoholic Metabolic Emergencies

被引:17
作者
Allison, Michael G. [1 ,2 ]
McCurdy, Michael T. [1 ,2 ]
机构
[1] Univ Maryland, Sch Med, Dept Med, Div Pulm & Crit Care Med, Baltimore, MD 21201 USA
[2] Univ Maryland, Sch Med, Dept Emergency Med, Baltimore, MD 21201 USA
关键词
Ethanol intoxication; Beer potomania; Alcoholic ketoacidosis; Alcohol encephalopathy; Wernicke encephalopathy; Korsakoff syndrome; ACUTE WERNICKES ENCEPHALOPATHY; KORSAKOFF-SYNDROME; BEER POTOMANIA; GLUCOSE; HYPONATREMIA; INTOXICATION; MAGNESIUM;
D O I
10.1016/j.emc.2013.12.002
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Ethanol intoxication and ethanol use are associated with a variety of metabolic derangements encountered in the Emergency Department. In this article, the authors discuss alcohol intoxication and its treatment, dispel the myth that alcohol intoxication is associated with hypoglycemia, comment on electrolyte derangements and their management, review alcoholic ketoacidosis, and end with a section on alcoholic encephalopathy.
引用
收藏
页码:293 / +
页数:10
相关论文
共 43 条
[1]   ALCOHOLIC KETOACIDOSIS [J].
ADAMS, SL ;
MATHEWS, JJ ;
FLAHERTY, JJ .
ANNALS OF EMERGENCY MEDICINE, 1987, 16 (01) :90-97
[2]   CLINICALLY IMPORTANT EFFECTS OF ALCOHOL ON ENDOCRINE FUNCTION [J].
ADLER, RA .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1992, 74 (05) :957-960
[3]   Thiamin treatment and working memory function of alcohol-dependent people: Preliminary findings [J].
Ambrose, ML ;
Bowden, SC ;
Whelan, G .
ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH, 2001, 25 (01) :112-116
[4]   Usefulness of CT and MR imaging in the diagnosis of acute Wernicke's encephalopathy [J].
Antunez, E ;
Estruch, R ;
Cardenal, C ;
Nicolas, JM ;
Fernandez-Sola, J ;
Urbano-Marquez, A .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1998, 171 (04) :1131-1137
[5]   CHANGING CONCEPTS IN TREATMENT OF SEVERE SYMPTOMATIC HYPONATREMIA - RAPID CORRECTION AND POSSIBLE RELATION TO CENTRAL PONTINE MYELINOLYSIS [J].
AYUS, JC ;
KROTHAPALLI, RK ;
ARIEFF, AI .
AMERICAN JOURNAL OF MEDICINE, 1985, 78 (06) :897-902
[6]   ETHANOL ELIMINATION RATES IN AN ED POPULATION [J].
BRENNAN, DF ;
BETZELOS, S ;
REED, R ;
FALK, JL .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1995, 13 (03) :276-280
[7]   Operational criteria for the classification of chronic alcoholics: Identification of Wernicke's encephalopathy [J].
Caine, D ;
Halliday, GM ;
Kril, JJ ;
Harper, CG .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1997, 62 (01) :51-60
[8]   Thiamine for prevention and treatment of Wernicke-Korsakoff Syndrome in people who abuse alcohol [J].
Day, Ed ;
Bentham, Peter W. ;
Callaghan, Rhiannon ;
Kuruvilla, Tarun ;
George, Sanju .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2013, (07)
[9]  
DEMANET JC, 1971, LANCET, V2, P1115
[10]  
Dillon ES, 1940, MED CLIN N AM, V24, P1813