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2
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Hum Exp Toxicol. 2012 Sep;31(9):877-86. doi: 10.1177/0960327112436404. Epub 2012 Feb 21.
3
Ketamine-induced biliary dilatation: from Hong Kong to New York.氯胺酮引起的胆道扩张:从香港到纽约。
J Addict Med. 2012 Mar;6(1):89-91. doi: 10.1097/ADM.0b013e3182399216.
4
Ketamine use: a review.氯胺酮的使用:综述。
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Ketamine hepato-toxicity in chronic pain management: another example of unexpected toxicity or a predicted result from previous clinical and pre-clinical data?
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Drug-induced liver injury following a repeated course of ketamine treatment for chronic pain in CRPS type 1 patients: a report of 3 cases.氯胺酮治疗 1 型复杂性区域疼痛综合征慢性疼痛后反复用药导致的药物性肝损伤:3 例报告。
Pain. 2011 Sep;152(9):2173-2178. doi: 10.1016/j.pain.2011.03.026. Epub 2011 May 4.
7
Cholestasis and biliary dilatation associated with chronic ketamine abuse: a case series.慢性氯胺酮滥用相关的胆汁淤积和胆管扩张:病例系列研究。
Singapore Med J. 2011 Mar;52(3):e52-5.
8
Ketamine for the treatment of chronic non-cancer pain.氯胺酮治疗慢性非癌性疼痛。
Expert Opin Pharmacother. 2010 Oct;11(14):2417-29. doi: 10.1517/14656566.2010.515978.
9
Upper gastrointestinal problems in inhalational ketamine abusers.吸入性氯胺酮滥用者的上消化道问题。
J Dig Dis. 2010 Apr;11(2):106-10. doi: 10.1111/j.1751-2980.2010.00424.x.
10
Emergency department presentation of ketamine abusers in Hong Kong: a review of 233 cases.香港氯胺酮滥用者在急诊科的表现:233 例病例回顾。
Hong Kong Med J. 2010 Feb;16(1):6-11.

氯胺酮可能是一名慢性疼痛患者肝硬化的病因。

Ketamine as a possible cause of cirrhosis in a patient with chronic pain.

作者信息

Bevan Roisin, Burke Denis

机构信息

Department of Gastroenterology, South Tyneside District Hospital, South Shields, Tyne and Wear, UK.

Department of Gastroenterology, Cumberland Infirmary, Carlisle, Cumbria, UK.

出版信息

Frontline Gastroenterol. 2014 Jul;5(3):208-210. doi: 10.1136/flgastro-2013-100378. Epub 2013 Dec 10.

DOI:10.1136/flgastro-2013-100378
PMID:28839772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5369745/
Abstract

Ketamine has been typically administered in short-term, few doses in the clinical setting of acute pain. Its hallucinogenic side effects have made it popular as a recreational drug. Reports of urological, biliary and liver abnormalities have been reported, mainly in cases of abuse. It is now increasingly used for chronic pain conditions, and here we report liver abnormalities and ultimately cirrhosis in an adult on regular ketamine for chronic facial pain. Abnormal liver function tests were detected incidentally, and with no other cause for liver disease found, liver biopsy was performed. This showed fibrosis with incomplete cirrhosis.

摘要

氯胺酮通常在急性疼痛的临床环境中短期、少量给药。其致幻副作用使其成为一种受欢迎的消遣性药物。已有关于泌尿系统、胆道和肝脏异常的报告,主要见于滥用病例。现在它越来越多地用于慢性疼痛疾病,在此我们报告一例成年患者因慢性面部疼痛规律使用氯胺酮后出现肝脏异常并最终发展为肝硬化。肝功能检查异常是偶然发现的,且未发现其他肝病病因,遂进行了肝活检。结果显示为伴有不完全肝硬化的纤维化。