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创伤病人,如颅脑损伤、失血或心源性休克,及滥用药品等,大部分病人会有复杂的症状。许多急诊科和创伤中心,都开展全面的毒物学检查,以便于诊断神志有变化的病人。作者对1888年4月1日～1989年3月31日收入的伴有神志改变的创伤病人,全部采集血液和尿标本,然后用气体色谱仪或分光计检法检查有无药品存在。从采集标本到得出最初结果,平均是4小时。最后综合血、尿的定量分析,全面报告毒物学检查结果。在创伤中心住院的1354例中177例有神志变化,结果127例(72％)有一种或多种毒物呈阳性反应。其中26例(20％)只对酒精呈阳性;44例(35％)除酒精外,至少还
Trauma patients, such as head injury, blood loss or cardiogenic shock, and abuse of drugs, most patients have complex symptoms. Many emergency departments and trauma centers carry out comprehensive toxicological tests to facilitate the diagnosis of conscious patients. The authors collected blood and urine samples of all traumatic patients with psychiatric changes who had income from April 1, 1888 to March 31, 1989 and then examined the presence or absence of the drug by gas chromatography or spectrophotometry. From collecting the specimens to obtaining the initial results, the average is 4 hours. The final comprehensive blood, urine quantitative analysis, a comprehensive report of toxicology test results. Of the 1354 hospitalized traumatic centers, 177 were consciously changed, with 127 (72%) having one or more poisons positive. Of these, 26 (20%) were positive for alcohol only; 44 (35%), in addition to alcohol,