Sullivan Stephen
University of British Columbia, Vancouver, British Columbia.
Can J Gastroenterol. 2010 May;24(5):284-5. doi: 10.1155/2010/481940.
Cannabinoid hyperemesis syndrome is characterized by chronic, heavy use of cannabis, recurrent episodes of severe nausea and intractable vomiting, and abdominal pain. Temporary relief of symptoms is achieved by taking a hot bath or shower, and resolution of the problem when cannabis use is stopped. Failure to recognize the syndrome leads to misdiagnoses such as psychogenic vomiting, the cyclic vomiting syndrome, an eating disorder or 'drug-seeking behaviour', and may lead to extensive, expensive and unproductive investigations, psychiatric referrals and ineffective treatments. Other than stopping cannabis use, there is no proven treatment. Why a substance known for its antiemetic properties should cause such a syndrome is unknown.
大麻素呕吐综合征的特征为长期大量使用大麻、反复出现严重恶心和顽固性呕吐以及腹痛。洗热水澡或淋浴可暂时缓解症状,停止使用大麻后问题得以解决。未能识别该综合征会导致误诊,如精神性呕吐、周期性呕吐综合征、饮食失调或“觅药行为”,并可能导致广泛、昂贵且无成效的检查、精神科转诊和无效治疗。除了停止使用大麻外,尚无经证实的治疗方法。一种以具有止吐特性而闻名的物质为何会导致这种综合征尚不清楚。