Sanjurjo Eduard, Nogué Santiago, Miró Oscar, Munné Pere
Servicio de Urgencias, Hospital Clínic, Barcelona, Spain.
Med Clin (Barc). 2004 Jun 19;123(3):90-2. doi: 10.1016/s0025-7753(04)74422-x.
There has been in recent years an increase in the number of medical emergencies due to the consumption of designer drugs. We decided to study the characteristics of medical emergencies generated by the consumption of amphetamine derivates.
For the period 2000-2002, the medical records of patients attending the Emergency Department (ED) who claimed to have consumed ecstasy or other amphetamine derivates or whose toxicological tests were positive for amphetamines were reviewed.
A total of 230 cases were identified, of whom 135 attended the ED due directly to ecstasy consumption. The average age was 23 years and 68% were men. Most patients were attended on weekend nights. The main reasons for attendance at the ED were anxiety, agitation or cognitive disturbances, reduced consciousness and fits or motor disturbances. Eighty per cent of patients admitted having consumed ecstasy and 65% of patients had consumed additional drugs. Three severe cases were recorded: two died in the ED and another was admitted to the ICU.
Ecstasy consumption generates common attendance at the Emergency Department and can be potentially fatal.
近年来，因使用新型毒品导致的医疗紧急情况数量有所增加。我们决定研究安非他命衍生物使用所引发的医疗紧急情况的特征。
回顾了2000年至2002年期间，前往急诊科（ED）就诊且声称使用过摇头丸或其他安非他命衍生物，或其毒理学检测显示安非他命呈阳性的患者的病历。
共确定了230例病例，其中135例是直接因使用摇头丸而前往急诊科就诊。平均年龄为23岁，68%为男性。大多数患者是在周末晚上就诊。前往急诊科就诊的主要原因是焦虑、激动或认知障碍、意识减退以及抽搐或运动障碍。80%的患者承认使用过摇头丸，65%的患者还使用过其他毒品。记录了3例严重病例：2例在急诊科死亡，另1例被收入重症监护病房。
使用摇头丸会导致频繁前往急诊科就诊，且可能具有致命性。
