Zwiebel Hannah, Greenky David, Goldman Ran D
Can Fam Physician. 2025 Mar;71(3):161-163. doi: 10.46747/cfp.7103161.
A 3-year-old girl was brought to my office by her caregiver because she was not acting like herself. She was excessively sleepy, difficult to rouse, and had poor balance. The caregiver reported cannabis products in the home in the form of gummies the caregiver takes for sleep and anxiety. What symptoms should prompt consideration of marijuana ingestion and how should accidental ingestion be managed?
Cannabis is one of the most widely used drugs in the world. Many countries are decriminalizing and legalizing marijuana, but its negative impact on pediatric health is growing. Current evidence shows unintentional marijuana ingestion and severe toxicity are steadily increasing. Common symptoms of marijuana ingestion in young children are drowsiness, somnolence, nausea, and vomiting, with children being at high risk for severe symptoms of respiratory depression and seizures. Primary care providers should talk to families about issues surrounding marijuana in the home, including safe storage of products containing cannabis and when to suspect an accidental ingestion. Public health should focus on the packaging and distribution of edibles to prevent easy access and accidental ingestion by young children.
一名3岁女孩被其照顾者带到我的办公室，因为她表现得不像自己。她极度困倦，难以唤醒，且平衡能力差。照顾者报告家中有以软糖形式存在的大麻制品，照顾者服用这些软糖来助眠和缓解焦虑。哪些症状应促使考虑大麻摄入，以及意外摄入应如何处理？
大麻是世界上使用最广泛的毒品之一。许多国家正在将大麻非罪化并使其合法化，但其对儿童健康的负面影响正在增加。目前的证据表明，意外大麻摄入和严重毒性正在稳步上升。幼儿大麻摄入的常见症状是嗜睡、昏睡、恶心和呕吐，儿童出现呼吸抑制和癫痫等严重症状的风险很高。初级保健提供者应与家庭谈论家中与大麻有关的问题，包括含有大麻的产品的安全储存以及何时怀疑意外摄入。公共卫生应关注可食用大麻制品的包装和分销，以防止幼儿轻易获取并意外摄入。
