Morley Stephen, Slaughter John, Smith Paul R
Leicester Royal Infirmary, Leicester, UK.
ASI-Analytical Services International Ltd, London, UK.
J Emerg Med. 2017 Dec;53(6):862-864. doi: 10.1016/j.jemermed.2017.06.029. Epub 2017 Oct 4.
The use of e-liquids is becoming more prevalent. There is a risk that such liquids may be ingested by mouth rather than being vaped/ inhaled. Due to the high concentration of drugs such as nicotine in these liquids, there may be toxic, and possibly fatal consequences.
We report the death of a 32-year-old male who ingested nicotine-containing e-liquid while under the influence of alcohol. A serum sample taken 24 h after collapse contained nicotine at a concentration of 1600 ng/mL of nicotine. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Death secondary to e-liquid ingestion is still very rare, but has the potential for causing deaths due to the easy access of such liquids to the general public. Such toxicity should be considered in individuals who present in the early phases with symptoms of stimulant toxicity, but also in the latter phase where there may be autonomic depressive effects.
电子烟液的使用正变得越来越普遍。存在这样一种风险，即此类液体可能被误服而非用于雾化/吸入。由于这些液体中尼古丁等药物浓度很高，可能会产生毒性，甚至可能导致致命后果。
我们报告一名32岁男性在酒精影响下误服含尼古丁电子烟液后死亡。晕倒后24小时采集的血清样本中尼古丁浓度为1600纳克/毫升。急诊医生为何应了解此事？：因误服电子烟液导致的死亡仍然非常罕见，但由于此类液体在普通大众中容易获取，有可能造成死亡。对于早期出现兴奋剂中毒症状的个体，以及后期可能出现自主神经抑制作用的个体，都应考虑这种毒性。
