MedCenter Air, Atrium Health, Charlotte, NC.
Department of Emergency Medicine, Atrium Health, Charlotte, NC.
Air Med J. 2020 Mar-Apr;39(2):140-142. doi: 10.1016/j.amj.2019.09.019. Epub 2019 Oct 24.
This case presentation describes the clinical management of a pediatric patient during transport after a single-drug overdose of clonidine. Clonidine overdose closely resembles opiate intoxication, and treatment is largely supportive; however, the patient in this case presentation had a declining altered mental status with evidence of airway compromise within 1 to 2 hours after ingestion, which warranted protective airway management. The patient was extubated the following day with a successful outcome.
本病例报告描述了一名儿童患者在氯硝西泮单药过量后进行转运时的临床处理方法。氯硝西泮过量与阿片类中毒非常相似，治疗主要是支持性的；然而，本病例报告中的患者在摄入后 1 至 2 小时内出现精神状态逐渐恶化并伴有气道阻塞的证据，需要进行保护性气道管理。患者于次日成功拔管。
