J Emerg Nurs. 2021 Jul;47(4):551-556.e1. doi: 10.1016/j.jen.2021.02.004.
Kratom ingestion for its psychotropic effect or to self-treat opioid withdrawal symptoms has increased over the last 10 years in the United States. Although mild adverse effects have been observed in users, reports of respiratory failure and shock after kratom consumption remain rare. In this case, a 35-year-old man initially presented to the emergency department with profound circulatory shock, metabolic acidosis, hypoxia, and symptoms of autonomic nervous system dysfunction. The patient required vasopressor support, multiregimen sedation and rapid sequence intubation, mechanical ventilation, and emergent hemodialysis. Within 72 hours, the patient's condition stabilized, and he was extubated. The patient reported regular consumption of large quantities of kratom as well as injection of heroin and cocaine. In this report, a rare clinical presentation after kratom ingestion is described.
在过去的 10 年中，美国使用 kratom 来获得其精神活性作用或自行治疗阿片类药物戒断症状的情况有所增加。尽管使用者观察到轻度不良反应，但仍很少有关于使用 kratom 后呼吸衰竭和休克的报告。在这种情况下，一名 35 岁男性最初因严重循环休克、代谢性酸中毒、缺氧和自主神经系统功能障碍的症状到急诊科就诊。该患者需要血管加压药支持、多方案镇静和快速序贯插管、机械通气和紧急血液透析。在 72 小时内，患者的病情稳定下来，他被拔管。该患者报告说经常大量食用 kratom 以及注射海洛因和可卡因。在本报告中，描述了一种在摄入 kratom 后罕见的临床表现。
