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一例有趣的鸦片茶中毒病例。

An interesting case of opium tea toxicity.

作者信息

Seyani Chitsa, Green Peregrine, Daniel Lisa, Pegden Amanda

机构信息

Great Western Hospital, Swindon, UK.

Great Western Hospitals NHS Foundation Trust, Swindon, UK.

出版信息

BMJ Case Rep. 2017 Apr 28;2017:bcr-2016-218971. doi: 10.1136/bcr-2016-218971.

DOI:10.1136/bcr-2016-218971
PMID:28455458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5534777/
Abstract

We present an unusual cause of respiratory arrest resulting from sole ingestion of home-brewed opium tea. A 64-year-old woman was found unresponsive and in respiratory arrest by a first responder. There were no obvious signs of regular recreational drug use. On presentation to the local district general hospital, the patient was in extremis, with severe physiological and biochemical derangements. A naloxone infusion was commenced and she later made a good recovery. It was subsequently discovered that she had brewed opium tea from opium buds she had picked from a nearby commercial poppy farm, a practice she had learnt while in Afghanistan.

摘要

我们报告了一例因单纯饮用自酿鸦片茶导致呼吸骤停的罕见病例。一名64岁女性被急救人员发现无反应且呼吸骤停。没有明显的常规娱乐性药物使用迹象。在当地地区综合医院就诊时,患者情况危急,伴有严重的生理和生化紊乱。开始输注纳洛酮,她后来恢复良好。随后发现她用从附近商业罂粟农场采摘的鸦片花蕾煮了鸦片茶,这是她在阿富汗时学到的做法。

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An interesting case of opium tea toxicity.一例有趣的鸦片茶中毒病例。
BMJ Case Rep. 2017 Apr 28;2017:bcr-2016-218971. doi: 10.1136/bcr-2016-218971.
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本文引用的文献

1
Death in a legal poppy field in Spain.在西班牙一片合法种植的罂粟地里发生的死亡事件。
Forensic Sci Int. 2016 Aug;265:34-40. doi: 10.1016/j.forsciint.2015.12.013. Epub 2015 Dec 21.
2
Pain and Poppies: The Good, the Bad, and the Ugly of Opioid Analgesics.疼痛与罂粟:阿片类镇痛药的利弊与危害
J Neurosci. 2015 Oct 14;35(41):13879-88. doi: 10.1523/JNEUROSCI.2711-15.2015.
3
Benzylisoquinoline alkaloid biosynthesis in opium poppy.罂粟中苄基异喹啉生物碱的生物合成。
Planta. 2014 Jul;240(1):19-32. doi: 10.1007/s00425-014-2056-8. Epub 2014 Mar 27.
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Fatality involving the ingestion of phenazepam and poppy seed tea.涉及摄入苯海拉明和罂粟籽茶的死亡事件。
J Anal Toxicol. 2010 Oct;34(8):527-32. doi: 10.1093/jat/34.8.527.
5
Fatal intoxications in Denmark following intake of morphine from opium poppies.丹麦因摄入罂粟中的吗啡导致的致命中毒事件。
Z Rechtsmed. 1988;101(3):197-204.