Benyamina Amine, Bouchez Jacques, Rahioui Hassan, Reynaud Michel
Département de psychiatrie et d'addictologie Hôpital Paul-Brousse 94804 Villejuif.
Rev Prat. 2003 Jun 1;53(11):1201-8.
The practitioner is very frequently confronted by emergencies in drug-addicted patients also having psychiatric symptomatology. In this article the authors will address emergencies related to alcohol (notably intoxication, pre-DTs and the encephalopathies); emergencies related to cannabis (notably intoxication, psychotic states and panic attacks); and emergencies related to other psycho-active substances (overdoses, drug-withdrawal, psychiatric complications related to cocaine or amphetamines). In the domain of drug addiction, as in psychiatry, the practitioner must give as much importance to the organisation of the long-term healthcare plan for the drug addict, ulterior to the management of the immediate emergency. For example, whereas 90% of subjects presenting to the emergency department for acute alcoholic intoxication have a pathological consumption of alcohol (abuse or dependance), management of the alcoholism is proposed in only 2% of them.
从业者也经常会遇到有精神症状的药物成瘾患者出现紧急情况。在本文中,作者将探讨与酒精相关的紧急情况(尤其是中毒、震颤谵妄前期和脑病);与大麻相关的紧急情况(尤其是中毒、精神状态和惊恐发作);以及与其他精神活性物质相关的紧急情况(过量用药、戒毒、与可卡因或苯丙胺相关的精神并发症)。在药物成瘾领域,与精神病学一样,从业者在处理紧急情况之后,必须同样重视为药物成瘾者制定长期医疗保健计划。例如,90%因急性酒精中毒到急诊科就诊的患者存在酒精病理性消费(滥用或依赖),但其中只有2%的患者接受了酒精成瘾治疗。