Ruiz Victoria, Rosciani Foda, Bisso Indalecio Carboni, Heras Marcos Las
Department of Intensive Care Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Indian J Crit Care Med. 2022 Summer;26(4):521-523. doi: 10.5005/jp-journals-10071-24187.
The substance known as 3,4-methylenedioxymethamphetamine (MDMA) that is commonly named ecstasy is a designer drug used for recreation. The intoxication for MDMA could generate hyperthermia, hepatotoxicity, acute renal failure, cardiovascular toxicity, hyponatremia, serotonin syndrome, coma, and, eventually could lead to, death. There is no antidote available, that is why the treatment is symptomatic and of advanced vital support until the resolution of the case. A case is presented of an adult with multi-organ failure secondary to intoxication for MDMA in whom it was decided to initiate support of oxygenation with extracorporeal membrane oxygenation as a bridge to recovery, with good results.
Ruiz V, Rosciani F, Bisso IC, Heras ML. Extracorporeal Membrane Oxygenation Support in Refractory Multi-organ Failure by 3,4-Methylenedioxymethamphetamine Intoxication ("Ecstasy"). Indian J Crit Care Med 2022;26(4):521-523.
被称为3,4-亚甲基二氧甲基苯丙胺（MDMA）、俗称摇头丸的物质是一种用于娱乐的合成毒品。MDMA中毒可导致高热、肝毒性、急性肾衰竭、心血管毒性、低钠血症、血清素综合征、昏迷，并最终可能导致死亡。目前尚无解毒剂，这就是为什么治疗是对症的且需要进行高级生命支持，直至病情缓解。本文介绍了一例因MDMA中毒继发多器官功能衰竭的成年患者，决定采用体外膜肺氧合进行氧合支持作为恢复的桥梁，效果良好。
Ruiz V, Rosciani F, Bisso IC, Heras ML. 3,4-亚甲基二氧甲基苯丙胺（“摇头丸”）中毒所致难治性多器官功能衰竭的体外膜肺氧合支持。《印度重症医学杂志》2022；26(4):521-523。
