Coma due to alcohol abuse of unknown origin

Báo Đầu tưBáo Đầu tư14/02/2025

For about 10 days now, Mr. LQĐ, 61 years old, in Hanoi, has been drinking alcohol continuously, alcohol of unknown origin, without eating or drinking, causing himself to be poisoned and having to go to a medical facility for emergency treatment.


For about 10 days now, Mr. LQĐ, 61 years old, in Hanoi, has been drinking alcohol continuously, alcohol of unknown origin, without eating or drinking, causing himself to be poisoned and having to go to a medical facility for emergency treatment.

On the morning of February 9, 2025, after many days of continuous drinking, Mr. D's family discovered that he had signs of impaired consciousness and did not respond to calls. He was then taken to the Central Hospital for Tropical Diseases for emergency treatment.

The patient is being treated at the Central Hospital for Tropical Diseases.

At the Emergency Department of the Central Hospital for Tropical Diseases, Mr. D. was discovered in a state of disturbed consciousness, deep coma, breath smelling strongly of alcohol, dark skin, incontinence, and severe metabolic disorder.

Immediately, doctors performed endotracheal intubation, mechanical ventilation, and continuous blood filtration catheter placement for emergency treatment. Brain scans showed age-related brain atrophy. Mr. D. was given an in-depth consultation with a diagnosis of methanol poisoning, critical condition, and high mortality rate.

Through medical history, Mr. D. had a history of high blood pressure for about 10 years, diabetes for about 5-7 years, heavy alcoholism and often drank alcohol of unknown origin.

For about 10 days now, during the Lunar New Year, a time for family reunions and meeting friends, Mr. LQ Đ, 61 years old, in Hanoi, has been drinking alcohol continuously without eating or drinking anything. Mr. Đ. often buys and drinks alcohol of unknown origin (alcohol without labels or origins).

Dr. Than Manh Hung, Deputy Head of the Emergency Department, Central Hospital for Tropical Diseases, said that after a day of intensive treatment, the patient is now temporarily stable but still needs to continue to use a ventilator and blood filtration, and balance acid-base balance due to metabolic disorders caused by alcohol.

Also regarding alcohol poisoning, at noon on December 19, 2024, in Long Bien district (Hanoi), a serious food poisoning incident occurred, causing two deaths and many others to be hospitalized.

Of the 20 hospitalized patients, 14 suffered from septic shock syndrome, toxic-lactate metabolic acidosis. Authorities determined the cause was poisoning by the chemical acetonitrile in white wine that the partygoers drank.

Next, on December 22, 2024, Vung Tau Hospital admitted 4 patients with suspected methanol poisoning. One of these patients was in a coma. This is a typical example of the harmful effects of using alcohol of unknown origin, often containing methanol - an extremely dangerous substance.

Alcohol poisoning, especially alcohol of unknown origin or homemade alcohol, is also a serious problem at the end of the year. Authorities have warned of the increased risk of alcohol poisoning during the holidays, when many people abuse alcohol.

“Wine of unknown origin, especially craft wine, is often mixed with industrial alcohol methanol to increase alcohol concentration and reduce production costs. Methanol, when entering the body, will be converted into formic acid and formaldehyde, causing serious damage to the liver, kidneys and nervous system, which can lead to blindness and death,” said Dr. Nguyen Trung Nguyen, Director of the Poison Control Center (Bach Mai Hospital).

To minimize the risk of alcohol poisoning, especially during the holidays, everyone needs to pay attention to some basic principles. According to recommendations, people need to drink alcohol in a controlled manner and not exceed the allowed level to reduce the risk of alcohol poisoning. One of the important principles is not to drink alcohol on an empty stomach.

Drinking on an empty stomach will cause the body to absorb alcohol quickly, increasing the risk of poisoning. In addition, when feeling drunk or experiencing symptoms of dizziness or nausea, you should immediately stop drinking alcohol and switch to drinking water or non-alcoholic beverages to help your body recover.

When choosing wine, make sure to only buy wine from reputable stores and establishments with clear origins. Avoid buying wines of unknown origin, especially fake or poor quality wines, as they may contain toxic substances such as methanol. Make sure to check the label and expiry date of the wine to avoid using expired products.

In addition, it is very important not to combine alcohol with other harmful substances. Alcohol can interact with some drugs, making the body susceptible to dangerous reactions, affecting the liver, kidneys and digestive system. In particular, avoid combining alcohol with unsafe foods, such as raw seafood or undercooked meat, as this can make the body susceptible to bacterial infections or food poisoning.

According to Dr. Nguyen Trung Nguyen, at the end of the year and the beginning of the year, people should drink alcohol at the lowest risk level in one drink, drink slowly, combine with food, and alternate with filtered water.

In particular, relatives need to pay attention to monitor the drunk person. If the drunk person is still aware, they should eat and drink foods containing sugar and starch such as rice, corn, potatoes, cassava, milk, sweetened fruit juice, soup, thin porridge... to have energy, otherwise it is easy to get hypoglycemia. At the same time, the family needs to pay attention to observe serious signs in relatives to take them to the emergency room promptly.

For example, if methanol is consumed, the patient will experience headaches, drowsiness, loss of consciousness, loss of vision, and coma. These symptoms usually do not occur immediately during the drinking session, but most patients fall into critical condition after 1 day. If not hospitalized and treated promptly, the risk of death is very high.

There are severe cases, even if they are saved, treatment is very difficult. In addition to mechanical ventilation, patients must undergo continuous blood filtration with solutions to filter out toxins, with treatment costs that can cost hundreds of millions of dong.



Source: https://baodautu.vn/hon-me-vi-lam-dung-ruou-khong-ro-nguon-goc-d245788.html

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