在"插入"后的甲基胺中毒 蓄意的娱乐性直肠使用
Amye Farag1, Sean Patrick Nordt1, Joshua Perese1
1Department of Emergency Medicine, Loma Linda University, School of Medicine, Loma Linda, California.
The Journal of emergency medicine
|March 31, 2024
概括
甲基胺的直肠注射,称为"插入",由于快速吸收,造成严重毒性的风险更高. 紧急医生必须了解这一路线,以便及时识别和管理急性甲基胺中毒.
科学领域:
- 毒理学 毒理学 毒理学
- 紧急医疗 紧急医疗
- 药理学 药理学是指药理学的学科.
背景情况:
- 甲基胺是一种广泛使用的非法药物,通常是通过肠道,口服或通过鼻给药.
- 直肠给药,或"插入",是一种不太常见但越来越被认可的途径.
- 这种途径绕过了第一通代谢,导致更快的发病和更高的生物可用性.
研究的目的:
- 为了突出与直肠甲基胺药物管理相关的风险.
- 通知急诊医生关于严重急性毒性和胃肠道损伤的可能性.
主要方法:
- 一个28岁的男性在直肠服药后出现了急性甲基胺毒性.
- 临床评估包括生命体征,实验室测试 (肌酸激酶) 和神经状态.
- 在重症监护室进行管理,并采用快速测序输管.
主要成果:
- 患者经历了严重的甲基胺毒性迅速发作,包括高血压,低心率和精神病,直肠服药后30分钟内.
- 需要进入重症监护室和使用机械通风.
- 没有迹象表明肠道缺血或在出院时受伤.
结论:
- 甲基胺的直肠给药绕过了第一通代谢,导致更快的开始和更高的生物可用性,从而增加了毒性风险.
- 紧急医生应该意识到"插头",并密切监测交感对比性毒性病症,介肠缺血症和肠道损伤.
- 对于疑似直肠甲胺毒性患者来说,及时识别和管理至关重要.
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