Huang Chao-Yen, Chuang Cheng-Hsun
Chung Shan Medical University Hospital Department of Emergency Medicine Taichung Taiwan.
Chung Shan Medical University School of Medicine Taichung Taiwan.
J Acute Med. 2023 Mar 1;13(1):41-43. doi: 10.6705/j.jacme.202303_13(1).0006.
This case involves a 41-year-old male experiencing agitation and confusion due to betel nut intoxication. The diagnosis was made by identifying the toxidrome through physical examination. Removing the residual betel nut with a finger and brushing it with water resulted in a significant improvement in consciousness and orientation within one hour. In addition to recognizing the toxidrome, prompt and effective treatment for the intoxicated patient is essential. Given the prevalence of betel nut chewing in Taiwan, emergency physicians should be particularly vigilant of arecoline toxicity.
该病例涉及一名41岁男性，因槟榔中毒出现躁动和意识模糊。通过体格检查识别中毒综合征后做出诊断。用手指清除残留的槟榔并用水冲洗，一小时内患者意识和定向力有显著改善。除了识别中毒综合征外，对中毒患者进行及时有效的治疗至关重要。鉴于台湾嚼食槟榔的普遍性，急诊医生应特别警惕槟榔碱中毒。
