Nelson B S, Heischober B
Department of Emergency Medicine, Loma Linda University Medical Center, Loma Linda, CA 92354, USA.
Ann Emerg Med. 1999 Aug;34(2):238-43. doi: 10.1016/s0196-0644(99)70239-8.
Betel nut is a common masticatory drug used in Far East Asia, India, and the South Pacific. It is used daily by 600 million people worldwide, yet is unknown to most Western physicians. As the world becomes more culturally and ethnically interconnected, emergency physicians will encounter the use of betel nut. Significant illness can be associated with its use, including asthma exacerbation, cholinergic crisis, cardiac arrhythmias, acute psychosis, milk-alkali syndrome, and oropharyngeal tumors. We describe its source, pharmacology, composition, presentation, and treatment in the emergency department.
槟榔是一种在东亚、印度和南太平洋地区常用的咀嚼型药物。全球有6亿人每天食用槟榔，但大多数西方医生对此并不了解。随着世界在文化和种族上的联系日益紧密，急诊医生将会遇到使用槟榔的情况。使用槟榔可能会引发严重疾病，包括哮喘加重、胆碱能危象、心律失常、急性精神病、乳碱综合征和口咽肿瘤。我们在本文中描述了槟榔的来源、药理学、成分、临床表现以及在急诊科的治疗方法。
