Wang Jessica W, Kivovich Violetta, Gordon Laurie
From the *New York Presbyterian Hospital, New York; and †New York Hospital Queens, Flushing, NY.
Pediatr Emerg Care. 2017 Aug;33(8):e24-e26. doi: 10.1097/PEC.0000000000000502.
Ketamine is a recreational drug widely abused in East Asia and also in certain subpopulations of the United States. Many US clinicians are unaware of abuse symptoms, leading to misdiagnosis and missed opportunities for intervention. We will discuss clinical patterns that should alert a clinician to the possibility of ketamine abuse.
We present 6 adolescent patients who presented to the pediatric emergency department and inpatient wards with urinary and hepatobiliary symptoms in the setting of ketamine abuse.
We identified 6 patients with confirmed ketamine abuse who presented with epigastric pain or urinary pain. All had laboratory and radiographic evidence of disease.
Ketamine abuse is associated with a distinctive pattern of symptoms involving the urinary and hepatobiliary systems.
氯胺酮是一种在东亚以及美国某些亚人群中被广泛滥用的娱乐性药物。许多美国临床医生并不了解其滥用症状，从而导致误诊以及错过干预时机。我们将讨论一些临床症状模式，这些模式应能提醒临床医生注意氯胺酮滥用的可能性。
我们介绍了6名青少年患者，他们因氯胺酮滥用出现泌尿和肝胆系统症状，前来儿科急诊科和住院病房就诊。
我们确定了6名确诊氯胺酮滥用的患者，他们均表现为上腹部疼痛或尿痛。所有人都有疾病的实验室和影像学证据。
氯胺酮滥用与涉及泌尿和肝胆系统的独特症状模式有关。
