最近审阅: 30 十月 2020
最近更新: 04 一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 瞳孔缩小
  • 呼吸迟缓
  • 意识状态改变
  • 对纳洛酮有剧烈反应

其他诊断因素

  • 新鲜针孔
  • 随身物品里有吸毒用具
  • 胃肠动力减弱
  • 手臂和腿上有旧针孔
  • 肺部啰音
  • 泡沫样粉红痰
  • 惊厥
  • 心律失常

危险因素

  • 阿片类药物滥用和依赖
  • 长期用药者的近期戒断
  • 慢性疼痛

诊断性检查

首要检查

  • 纳洛酮治疗试验
  • 心电图 (ECG)
更多 首要检查

需考虑的检查

  • 胸部 X 线检查
  • 腹部 X 线检查
  • 腹部 CT 扫描
  • 阿片类药物尿检筛查
  • 气相色谱法/质谱法
更多 需考虑的检查

治疗流程

撰稿人

Consultant Physician and Clinical Toxicologist

National Poisons Information Service (Newcastle)

Newcastle-upon-Tyne

UK

利益声明

RT declares that he has no competing interests.

Dr Ruben Thanacoody would like to gratefully acknowledge Dr Dean Olsen, a previous contributor to this monograph. DO declares that he has no competing interests.

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Staff

Gynecologic Oncologist

Northwest Cancer Specialists

Rose Quarter Cancer Center

Portland

OR

利益声明

WW declares that he has no competing interests.

Director

Joseph Epstein Centre for Emergency Medicine Research

Western Health Sunshine Hospital

St Albans

Australia

利益声明

AMK has received grant funding for research into intranasal delivery of naloxone in heroin overdose.

Assistant Professor

Johns Hopkins University

Baltimore

MD

利益声明

AS declares that he has no competing interests.

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