Dickson P H, Lind A, Studts P, Nipper H C, Makoid M, Therkildsen D
Creighton University School of Medicine, Department of Pathology, Omaha, NE.
J Forensic Sci. 1994 Jan;39(1):207-14.
Drug screening of breast milk in a clinical toxicology laboratory is reported. Findings from three cases include cocaine, ethylbenzoylecgonine (cocaethylene), ethanol, oxycodone, codeine, and nicotine. We believe this to be the first report of ethylbenzoylecgonine in human breast milk. One other specimen submitted for analysis was screened with negative results. Screening and confirmation procedures adapted for use with breast milk are described. Finally, the potential for cocaine intoxication from mother to baby is discussed. Estimates of infant blood cocaine concentration are given which may increase awareness of the need to monitor milk and blood cocaine concentrations in the infant when the situation warrants.
报道了在临床毒理学实验室对母乳进行药物筛查的情况。三例病例的检测结果包括可卡因、乙基苯甲酰爱康宁（可口乙酮）、乙醇、羟考酮、可待因和尼古丁。我们认为这是人类母乳中出现乙基苯甲酰爱康宁的首次报道。提交分析的另一份样本筛查结果为阴性。描述了适用于母乳检测的筛查和确认程序。最后，讨论了母亲向婴儿传播可卡因导致中毒的可能性。给出了婴儿血液中可卡因浓度的估计值，这可能会提高人们在必要情况下监测婴儿母乳和血液中可卡因浓度的意识。
