Macnab A, Anderson E, Susak L
Pediatric Intensive Care Unit, British Columbia's Children's Hospital, Vancouver, Canada.
Pediatr Emerg Care. 1989 Dec;5(4):238-9. doi: 10.1097/00006565-198912000-00010.
Previous reports of accidental ingestion of cannabis by children are rare. None has reported coma, although one described a stuporous state that required assisted ventilation. Over the past four years, the staff of British Columbia's Children's Hospital has managed six children with cannabis toxicity, three of whom presented in coma, including one with airway obstruction. Recurring diagnostic features included rapid onset of drowsiness, moderate pupil dilation, hypotonia, lid lag, and the presence of small granules or leaves in the mouth. Confirmation was obtained by positive urine screening for cannabinoids. The six cases described emphasize the need for emergency physician awareness of possible diagnostic criteria, the potential severity of intoxication, and the need for prevention through parent education.
此前关于儿童意外摄入大麻的报道很少见。虽然有一篇报道描述了一名儿童处于需要辅助通气的昏睡状态，但均未提及昏迷情况。在过去四年中，不列颠哥伦比亚省儿童医院的工作人员诊治了六名大麻中毒儿童，其中三名出现昏迷，包括一名伴有气道梗阻的儿童。反复出现的诊断特征包括嗜睡迅速发作、瞳孔中度散大、肌张力减退、眼睑滞后以及口腔内有小颗粒或叶子。通过尿液大麻素筛查呈阳性得以确诊。所描述的这六个病例强调了急诊医生需要了解可能的诊断标准、中毒的潜在严重性以及通过对家长进行教育来预防的必要性。
