Pianca Thiago Gatti, Sordi Anne Orgle, Hartmann Thiago Casarin, von Diemen Lisia
Hospital de Clínicas de Porto Alegre, Serviço de Psiquiatria da Infância e Adolescência, Porto Alegre, RS, Brazil.
Hospital de Clínicas de Porto Alegre, Serviço de Psiquiatria de Adição, Porto Alegre, RS, Brazil.
J Pediatr (Rio J). 2017 Nov-Dec;93 Suppl 1:46-52. doi: 10.1016/j.jped.2017.06.015. Epub 2017 Sep 5.
To review the screening, diagnosis, evaluation, and treatment of intoxication by alcohol and other drugs in children and adolescents in the emergency scenario.
This was a narrative literature review.
The detection of this problem in the emergency room can be a challenge, especially when its assessment is not standardized. The intentional and episodic use of large amounts of psychoactive substances by adolescents is a usual occurrence, and unintentional intoxication is more common in children younger than 12 years. The clinical picture in adolescents and children differs from that in adults and some particularities are important in the emergency scenario. After management of the acute condition, interventions targeting the adolescent at risk may be effective.
The diagnosis and treatment of intoxication by alcohol and other drugs in adolescents and children in the emergency scenario requires a systematic evaluation of the use of these drugs. There are few specific treatments for intoxication, and the management comprehends support measures and management of related clinical complications.
回顾急诊情况下儿童和青少年酒精及其他药物中毒的筛查、诊断、评估和治疗。
这是一篇叙述性文献综述。
在急诊室检测到这个问题可能具有挑战性，尤其是当其评估未标准化时。青少年故意且偶尔大量使用精神活性物质是常见现象，而12岁以下儿童无意中毒更为常见。青少年和儿童的临床表现与成人不同，在急诊情况下一些特殊性很重要。在处理急性病情后，针对有风险的青少年的干预措施可能有效。
急诊情况下青少年和儿童酒精及其他药物中毒的诊断和治疗需要对这些药物的使用进行系统评估。中毒的特效治疗方法很少，管理包括支持措施和相关临床并发症的处理。
