Bechtel Laura K, Holstege Christopher P
Blue Ridge Poison Center, University of Virginia Health System, Charlottesville, VA 22908-0774, USA.
Emerg Med Clin North Am. 2007 May;25(2):499-525; abstract x. doi: 10.1016/j.emc.2007.02.008.
Drug-facilitated sexual assault (DFSA) is a complex and ever-prevalent problem presenting to emergency departments. Emergency personnel should consider DFSA in patients who are amnestic to the specific details of the event following a reported sexual assault. The presence of ethanol or a positive routine drug screen in a sexual assault victim does not exclude the potential of a surreptitious drug being present. In addition, a negative routine drug screen does not exclude all potential agents that are used in DFSA. This article discusses agents reported in DFSA. It is imperative for emergency personnel to clearly document the history and the presenting signs and symptoms to assist laboratory personnel to hone in and detect the correct agent used in a DFSA.
药物辅助性性侵（DFSA）是急诊科面临的一个复杂且普遍存在的问题。对于报告遭受性侵后对事件具体细节失忆的患者，急救人员应考虑到药物辅助性性侵的可能性。性侵受害者体内存在乙醇或常规药物筛查呈阳性，并不能排除存在隐秘药物的可能性。此外，常规药物筛查呈阴性也不能排除药物辅助性性侵中使用的所有潜在药物。本文讨论了药物辅助性性侵中报告的药物。急救人员必须清楚记录病史以及当前的体征和症状，以协助实验室人员精准识别和检测出药物辅助性性侵中使用的正确药物。
