滥用镇咳剂患者的低血钾:一项回顾性图表综述
2014/06/17
摘要
背景:过去20年间,在中国的某些地区镇咳剂的非医疗消费已经成为一个严重的社会问题。镇咳剂滥用可导致精神症状。此外,镇咳剂滥用相关的身体不适已经越来越引起人们的关注。
方法:本研究对中国广州脑科医院2009年1月到2012年12月间收治的与镇咳剂滥用相关的低血钾病例进行回顾性图表综述。
结果:该图表回顾了34例镇咳剂滥用病例。其中7例(20.6%)镇咳合剂滥用者表现为低血钾,伴轻到重度的四肢乏力。在补钾治疗后这些患者的低血钾症状减少。
结论:在镇咳剂滥用者中低血钾症状高发。镇咳剂滥用可能是急诊科年轻患者出现低血钾麻痹的次要原因之一。
(刘国梁 审校)
J Addict Med. 2014 Apr 4. [Epub ahead of print]
Hypokalemia in Patients With Cough Mixture Abuse: A Retrospective Chart Review.
Zheng D1, Li Y, Liu Y, Rong X, Tang Y, Peng Y, Shen Q.
ABSTRACT
BACKGROUND:In past 2 decades, nonmedical consumption of cough mixture has become a serious social problem in certain regions of China. Cough mixture abuse causes psychiatric symptoms. Moreover, there has been an increasing concern about the physical disorders associated with cough mixture abuse.
METHODS: A retrospective chart review of hypokalemia related to cough mixture abuse between January 2009 and December 2012 was conducted in Guangzhou Brain Hospital, China.
RESULTS:The charts were reviewed for 34 subjects with cough mixture abuse. Seven of 34 cough mixture abusers (20.6%) presented hypokalemia, with symptoms ranged from mild to severe limb weakness. Hypokalemia in these patients reduced after normalization of potassium.
CONCLUSIONS:A high incidence of hypokalemia presents in cough mixture abusers. Cough mixture abuse might be one of the secondary causes of hypokalemia paralysis in young patients presenting to emergency departments.
J Addict Med. 2014 Apr 4. [Epub ahead of print]
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