[儿童意外大麻中毒：马赛中毒控制中心的经验]
[Accidental cannabis poisoning in children: experience of the Marseille poison center].
作者信息
Spadari Michel, Glaizal Mathieu, Tichadou Lucia, Blanc Ingrid, Drouet Geneviève, Aymard Isabelle, De Haro Luc, Hayek-Lanthois Maryvonne, Arditti Jocelyne
机构信息
Centre d'évaluation et d'information sur la pharmacodépendance, Centre antipoison, Service de pharmacologie clinique (Pr Bruguerolle) CHU Marseille, F-13009 Marseille, France.
出版信息
Presse Med. 2009 Nov;38(11):1563-7. doi: 10.1016/j.lpm.2009.03.020. Epub 2009 Jun 21.
OBJECTIVE
To assess the frequency and severity of accidental cannabis poisoning in children.
METHODS
A retrospective study of cases of accidental cannabis poisoning in people aged under 18 years old, reported to the Marseille poison center from 1993 through 2007. We excluded cases where cannabis was definitively ruled out, and neonatal withdrawal syndromes in newborns from cannabis users.
RESULTS
We collected 93 cases, including 56 boys and 37 girls, 86% of whom were younger than 3 years. The principal form was cannabis resin (hashish), reported in 80% of the cases and belonging to one of the parents or a household member. In almost all cases, the poisoning took place at the child's home. The frequency has risen in recent years, with 2/3 of the cases occurred in the second half of the study period. Five serious cases were reported, two with convulsions.
CONCLUSION
Considering the observed increase in cases each year, mostly benign but potentially serious, prevention and information efforts have to be improved for drug users with young children and for healthcare professionals led to manage this kind of accident.
目的
评估儿童意外大麻中毒的频率和严重程度。
方法
对1993年至2007年向马赛毒物中心报告的18岁以下人群意外大麻中毒病例进行回顾性研究。我们排除了明确排除大麻的病例以及大麻使用者新生儿的新生儿戒断综合征病例。
结果
我们收集了93例病例，其中包括56名男孩和37名女孩，86%的患儿年龄小于3岁。主要形式是大麻树脂（哈希什），80%的病例报告为此类，且大麻属于父母一方或家庭成员。几乎所有病例的中毒都发生在患儿家中。近年来频率有所上升，2/3的病例发生在研究期的后半段。报告了5例严重病例，其中2例伴有惊厥。
结论
鉴于每年观察到的病例增加情况，虽然大多为良性但可能很严重，对于有幼儿的吸毒者以及负责处理此类事故的医护人员，必须加强预防和宣传工作。
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