一名边缘型人格障碍患者静脉注射尼古丁导致物质依赖而发生非自杀性自伤。
Non-suicidal self-injury by intravenous application of nicotine in a patient with borderline personality disorder resulting in substance dependence.
机构信息
Department of Psychiatry and Psychotherapy III, University of Ulm, Leimgrubenweg 12–14, Ulm, Germany.
出版信息
Addiction. 2011 Jun;106(6):1186-7. doi: 10.1111/j.1360-0443.2011.03393.x. Epub 2011 Apr 7.
BACKGROUND
Non-suicidal self-injury in many different forms is a classic struggle for those diagnosed with borderline personality disorder (BPD). Some common ways of NSSI are cutting, scratching and head-banging.
CASE DESCRIPTION
A 23-year old woman with BPD presented in our clinic with a 4-month history of intravenous application of a liquid dosage form of nicotine that is generally used for nasal application. Accordingly, the patient developed nicotine dependency (ICD-10 F17.25). Before her admission to our ward the daily intravenous nicotine application was around 33 mg. The in-patient detoxification proceeded without a remarkable withdrawal syndrome.
CONCLUSION
A case of regular intravenous administration of nicotine has been observed, apparently resulting in nicotine dependence in a person with borderline personality disorder. The original intent appears to have been self-harm.
背景
以多种不同形式进行的非自杀性自我伤害是被诊断为边缘型人格障碍（BPD）者的典型挣扎。一些常见的 NSSI 方式包括切割、划伤和撞头等。
病例描述
一位 23 岁女性，患有 BPD，因静脉应用通常用于鼻腔应用的尼古丁液体剂型而出现 4 个月的病史。因此，患者出现尼古丁依赖（ICD-10 F17.25）。在她入住我们病房之前，每天静脉内尼古丁应用量约为 33 毫克。住院戒毒过程中未出现明显戒断综合征。
结论
观察到一例经常进行静脉内尼古丁给药的情况，显然导致了一名边缘型人格障碍患者的尼古丁依赖。最初的意图似乎是自我伤害。
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