Coore J R
Department of Clinical Chemistry, University Hospital, Nottingham, UK.
J R Soc Med. 1996 Jan;89(1):51P-2P. doi: 10.1177/014107689608900115.
Since the late 1980s there have been a number of reports about the complications associated with using the designer drug 3,4-methylenedioxymethamphetamine (MDMA) or 'ecstasy'. Although this drug has been widely abused in the past, the potentially fatal complications have arisen recently mainly due to the circumstances of its use at all-night dance sessions or 'raves'. A combination of direct toxicity and strenuous physical exertion can lead to hyperthermia and its attendant complications. The following case illustrates some of the possible consequences following ingestion of 'ecstasy', and reiterates the importance of prompt recognition and treatment in preventing the development of irreversible sequelae.
自20世纪80年代末以来,已有多篇关于使用合成毒品3,4-亚甲基二氧基甲基苯丙胺(MDMA)即“摇头丸”所引发并发症的报道。尽管该药物过去已被广泛滥用,但近期出现的潜在致命并发症主要是由于其在通宵舞会或“锐舞派对”中的使用环境所致。直接毒性与剧烈体力消耗相结合可导致体温过高及其伴随的并发症。以下病例说明了摄入“摇头丸”后的一些可能后果,并重申了及时识别和治疗对于预防不可逆后遗症发生的重要性。