Croche Santander Borja, Alonso Salas María Teresa, Loscertales Abril Mercedes
Unidad de Gestión Clínica de Cuidados Críticos y Urgencias, Hospital Virgen del Rocío, Sevilla, España.
Arch Argent Pediatr. 2011 Feb;109(1):4-7. doi: 10.1590/S0325-00752011000100016.
Cannabis is the most frequently consumed illicit substance in Spain. Pediatric accidental cannabis poisoning is an uncommon but life-threatening intoxication.
To describe clinical findings, diagnosis and management of children with accidental cannabis poisoning in a tertiary care pediatric hospital. We report four patients with accidental cannabis poisoning. Clinical presentation included reduced level of consciousness, drowsiness, ataxia, tremble, apnea, hypotonia, and seizures. Tetrahydrocannabinol (THC) was detected by urine screening for cannabinoids and other toxic substances in all cases. The four patients were treated with supportive care. All cases recovered uneventfully and were discharged within 24 hours of admission.
The possibility of cannabis poisoning should be considered in cases of unexplained acute onset of neurological findings in previously healthy children.
大麻是西班牙最常被使用的非法物质。儿童意外大麻中毒虽不常见，但却是危及生命的中毒情况。
描述一家三级护理儿科医院中儿童意外大麻中毒的临床表现、诊断及处理。我们报告了4例意外大麻中毒患儿。临床表现包括意识水平降低、嗜睡、共济失调、震颤、呼吸暂停、肌张力减退及癫痫发作。所有病例通过尿液筛查大麻素及其他有毒物质均检测出四氢大麻酚（THC）。4例患者均接受了支持治疗。所有病例均顺利康复，并在入院后24小时内出院。
对于既往健康儿童出现无法解释的急性神经系统症状时，应考虑大麻中毒的可能性。
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