急性重度海洛因中毒38例临床分析  

A Clinical analysis of 38 cases acute severe heroin poisoning

作　　者：曾华[1] 童维红 柳长征 吴银惠 张晓芬 冯胜启 

机构地区：[1]湖北省黄冈卫生学校附属医院,黄冈438000 [2]湖北省鄂州市自愿戒毒所,鄂州436000 [3]湖北省黄冈市第二人民医院药物依赖治疗中心,黄冈438000

出　　处：《中国药物滥用防治杂志》2007年第5期264-265,296,共3页Chinese Journal of Drug Abuse Prevention and Treatment

摘　　要：目的:探讨急性重度海洛因中毒的诊断及治疗方法。方法:对1997～2006年我们收治的38例急性重度海洛因中毒病例的诊断、治疗进行回顾性研究,总结其临床表现的特点及诊疗经验。结果:患者均有明确的毒品静脉注射史,昏迷、瞳孔缩小及呼吸抑制的阿片中毒三联征,尿吗啡试验阳性;纳洛酮能及时恢复自主呼吸,平均用量为1.67mg±0.49mg。结论:快速就诊,及时、适量静脉注射纳洛酮及进行有效的辅助通气,是抢救海洛因重度中毒成功的关键。Objective： To investigate the diagnosis and treatment methods for acute severe heroin poisoning. Methods： Retrospective studied the diagnosis and treatments for 38 acute severe heroin poisoning cases from year 1997 to year 2006; Summarized the clinical features, and diagnosis treatment experiences. Results： Clear intravenous drug history, triple opioid intoxication symptoms of coma and meiosis and respiratory inhibition, and morphine positive in urine test are the conditions for diagnostic. Naloxone could quickly recover normal breathing.Average dosage is 1.67 mg±0.49mg. Conclusion： Immediate treatment, timely and appropriate dosage naloxone intravenous therapy, and effective ventilation are the keys to successful rescue of the patients of severe heroin poisoning.

关 键 词：海洛因 急性重度中毒 纳洛酮 

分 类 号：R595.5[医药卫生—内科学]