在慢性大麻使用者中呈现为术后恶心和吐的cannabinoid高缩综合征:一个病例报告
Justin B Atkins1, Daniel Levine1, Laura Shaw2
1Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas (UNLV), Las Vegas, USA.
Cureus
|August 18, 2025
概括
在手术患者中,通常会忽略大麻素过高症候群 (CHS). 识别慢性大麻使用者患有持续的术后恶心和吐的CHS对于及时治疗和避免并发症至关重要.
科学领域:
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 大麻素高症候群 (CHS) 是慢性大麻使用者的矛盾状况,出现反复恶心和吐.
- 在外科手术期间,CHS的诊断不足,经常被误认为是常见的术后症状.
- 这种诊断延迟可能导致不有效的治疗和长时间住院.
研究的目的:
- 为了突出在外科手术期间诊断CHS所面临的未被充分认识到的挑战.
- 强调在患有耐火术后恶心和吐 (PONV) 和有慢性大麻使用史的患者中考虑CHS的重要性.
- 倡导在手术和麻醉团队中提高意识.
主要方法:
- 一个40岁的女性每日使用大麻的历史,接受了重大妇科手术的案例报告.
- 详细描述患者的耐火性恶心和吐,对标准抗和止痛药没有反应.
- 临床过程包括症状升级,支持性护理和最终诊断CHS.
主要成果:
- 患者在手术后经历了严重的,耐火性恶心和吐,对丹塞,美托克洛普拉米德和阿片类药物没有反应.
- 症状包括血和幻觉,引发了对CHS的怀疑.
- 静脉注射水分,电解质替代和戒除大麻导致症状消失和出院.
结论:
- CHS是慢性大麻使用者中耐火性PONV的关键,未被认可的原因.
- 当标准的PONV管理失败时,周围操作小组必须保持高的CHS怀疑指数.
- 早期诊断和支持性护理改善了患者的结果,降低了医疗保健成本,并促进了有针对性的咨询.
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