Kinn Michael, Holzbach Rüdiger, Pajonk Frank-Gerald Bernhard
mkinn@ bgu-ludwigshafen.de
Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 Jan;44(1):14-20. doi: 10.1055/s-0028-1128180. Epub 2008 Dec 29.
For the first time since the year 2000 the number of death due to substance abuse of illegal drugs has increased in Germany in 2007 (+8 % compared to 2006). Emergency situations due to drug abuse are frequent, particular in big cities. They may be, however, difficult to diagnose and / or treat for an emergency physician on scene because of a lack of diagnostic tools, the local and personal surroundings, and the unknown number and nature of drugs. Many drug intoxications must be considered suicidal. On the other hand, drug intoxications may mask (other) life-threatening conditions. Emergency situations due to withdrawal offer the possibility to motivate patients to take advantage of specialist-guided abstinence programs.
自2000年以来，2007年德国因非法药物滥用导致的死亡人数首次出现增长（与2006年相比增长了8%）。药物滥用引发的紧急情况很常见，尤其是在大城市。然而，由于缺乏诊断工具、当地和个人环境以及药物数量和性质不明，现场的急诊医生可能难以诊断和/或治疗这些情况。许多药物中毒必须被视为自杀行为。另一方面，药物中毒可能掩盖（其他）危及生命的状况。戒断引发的紧急情况为促使患者利用专家指导的戒毒计划提供了可能性。
