在儿童群体中急性大麻中毒
Ginevra Malta1, Giuseppe Davide Albano1, Gianluca Lavanco2
1Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, Institute of Forensic and Legal Medicine, University of Palermo, Palermo, Italy.
Frontiers in toxicology
|April 29, 2025
概括
由于发育差异,儿童对大麻中毒更敏感. 本综述涵盖了毒理学,临床效应和儿童中Δ9-四大麻 (THC) 的检测,敦促进行公共卫生干预.
科学领域:
- 毒理学 毒理学 毒理学
- 儿科 儿科 儿科
- 药理学 药理学是指药理学的学科.
背景情况:
- 大麻的使用正在增加,导致儿科中毒病例的增加.
- 儿童的发育系统使得他们特别容易受到大麻素的影响.
- 了解这些影响对于临床实践和公共卫生至关重要.
研究的目的:
- 审查儿童大麻中毒的毒理学,临床和医学法律方面.
- 为研究,政策和临床实践提供有关儿童大麻暴露的信息.
- 突出儿童对9四大麻 (THC) 的特殊脆弱性.
主要方法:
- 关于儿童大麻中毒现有文献的叙事综述.
- 综合毒理学数据,临床表现和检测方法.
- 对儿童与成人的药理动力学和药理动力学差异的分析.
主要成果:
- 儿童由于未成熟的系统而表现出改变了大麻素的药理动力学,导致延迟和延长的效果.
- 神经发育的差异,特别是CB1受体表达的差异,增加了儿童对THC的敏感性.
- 尿液免疫检测和血THC度是关键的检测方法,每个都有局限性.
结论:
- 儿童大麻中毒是一个日益严重的问题,需要有针对性的干预措施.
- 儿童防护包装,公众教育和产前查是重要的预防措施.
- 临床医生必须在儿童症状的差异诊断中考虑THC暴露.
相关概念视频
Chemotherapy-Induced Nausea and Vomiting: Cannabinoids
184
Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
Two synthetic agonists of THC,...
Two synthetic agonists of THC,...
184
CNS Stimulants: Cocaine, Amphetamines and Cannabinoids
129
CNS stimulants, such as cocaine, amphetamines, and cannabinoids, have varying structures and mechanisms of action that lead to different therapeutic effects and side effects. Cocaine, with its molecular formula C17H21NO4, is a tropane alkaloid and a tertiary amino compound. It has two chemical forms: the hydrochloride salt and the "freebase." The former is in powder form, while the latter involves removing the hydrochloride salt to create a form that can be smoked. Cocaine exerts its...
129
Factors Affecting Drug Response: Overview
1.6K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
1.6K
CNS Depressants: Alcohol and Nicotine
151
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
151
Stimulants
131
Stimulants are substances that enhance neural activity and elevate dopamine levels in the brain, leading to their highly addictive nature. These drugs include cocaine, amphetamines, MDMA, caffeine, and nicotine, each with distinct mechanisms of action and varied health implications.
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
131
Attention-Deficit/Hyperactivity Disorder
21
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
21


