在探索性摄入大麻食用品后,状态
Kevin Rivera1, Alek Q Adkins2, Brian P Murray3
1Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, USA.
Cureus
|October 6, 2025
概括
本案例报告详细介绍了一个幼儿经历了状态,一个长时间的状态,与确定的大麻暴露有关. 早期识别四大麻素 (THC) 毒性对于治疗儿科发作至关重要.
科学领域:
- 儿科 儿科 儿科
- 毒理学 毒理学 毒理学
- 神经学 神经学
背景情况:
- 幼儿的状态 (SE) 是一种医疗紧急情况.
- 确定SE的根本原因对于有效治疗至关重要.
- 幼儿抗发作需要广泛的诊断方法.
研究的目的:
- 报告与实验室确认的大麻暴露相关的小孩第一个状态病例.
- 突出考虑四大麻素 (THC) 毒性在患有耐火性的儿科患者中的重要性.
- 强调早期识别和有针对性的毒理学测试在管理儿科SE.
主要方法:
- 一个18个月大的男孩的病例介绍,他没有反应,普遍的强力克隆性发作.
- 综合诊断工作包括神经成像,腰部穿刺和传染病检测.
- 对尿液和血清进行毒理学分析,检测药物代谢物,包括11-nor-9-carboxy-tetrahydrocannabinol (THC-COOH).
主要成果:
- 患者呈现了耐火状态,需要输管和机械通风.
- 经过广泛的检查,并没有发现发作的另一个病因.
- 毒理学证实尿液和血清THC-COOH水平升高,表明大麻暴露.
- 尿液中还检测到了佐伊莱克贡因.
结论:
- 这是第一个与已确认的大麻暴露相关的幼儿状态的病例.
- 临床医生应考虑儿童患者的THC毒性耐火性发作.
- 迅速识别THC毒性可以指导急性管理和儿童安全干预.
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