Burrows Kim, Williams Jennifer Ann
Department of Pediatrics, Kelowna General Hospital, Kelowna, British Columbia.
Paediatr Child Health. 2019 Aug;24(5):299-300. doi: 10.1093/pch/pxz015. Epub 2019 Feb 7.
A 16-month-old previously healthy child with normal development presented with decreased level of consciousness, apneas, and seizure requiring intubation and treatment for status epilepticus. Investigations revealed no evidence of infection or trauma, normal head CT scan, and urine positive for tetrahydrocannabinol (THC) and negative for other substances. This report outlines the clinical presentation, approach to treatment, and potential seriousness of THC intoxication in young children. Mandatory reporting and monitoring of THC intoxication in children is recommended. The need for effective education of parents about the risks of unintentional THC poisoning and measures to safeguard young children is discussed.
一名16个月大、发育正常且此前健康的儿童出现意识水平下降、呼吸暂停和癫痫发作，需要插管并接受癫痫持续状态治疗。检查未发现感染或创伤迹象，头部CT扫描正常，尿液中四氢大麻酚（THC）呈阳性，其他物质呈阴性。本报告概述了幼儿THC中毒的临床表现、治疗方法及潜在严重性。建议对儿童THC中毒进行强制报告和监测。还讨论了对家长进行关于无意THC中毒风险的有效教育以及保护幼儿措施的必要性。
