小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 心动过速
- 高血压
- 体温过高
- 激越
- 瞳孔散大
- 发汗
其他诊断因素
- 惊厥
危险因素
- 环境高温
- 贫穷
- 可卡因身体填料
- 男性
- 血浆胆碱酯酶缺乏症
- 18-25 岁
- 可卡因使用史
- 同时使用其他拟交感神经药物
诊断性检查
首要检查
- 心电图 (ECG)
- 即时血糖测定
- 血清肌酐
- 尿素
- 血清肌酸磷酸激酶
- 血清肌钙蛋白
- 胸部 X 线检查
- 脑 CT 扫描
需考虑的检查
- 尿液可卡因测定
- 腹部和盆腔 CT 扫描
治疗流程
疑似/确诊的可卡因中毒：非体内藏毒者/填塞者
疑似/确诊的可卡因中毒：体内藏毒者/填塞者
撰稿人
作者
Andrew Stolbach, MD, MPH
Attending Physician
Johns Hopkins Hospital
Baltimore
MD
利益声明
AS has been reimbursed by Peerview Education for delivering educational lectures unrelated to this topic; for expert testimony in unrelated toxicology topics; and by UpToDate for writing articles on other toxicology topics.
同行评议者
Janice Zimmerman, MD
Head
Critical Care Division
The Methodist Hospital
Houston
TX
利益声明
JZ declares that she has no competing interests.
Alison Jones, MD, FRCPE, FiBIOL, FRCP, FRACP
Dean
School of Medicine
Campbelltown Campus
University of Western Sydney
Australia
利益声明
AJ declares that she has no competing interests.
Andrew Parfitt, MBBS, FFAEM
Clinical Director
Acute Medicine
Associate Medical Director
Consultant Emergency Medicine
Guy's and St Thomas' NHS Foundation Trust
Clinical Lead and Consultant
Accident Emergency Medicine
St Thomas' Hospital
London
UK
利益声明
AP declares that he has no competing interests.
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