BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 家庭中其他成员存在可卡因或其他物质滥用
  • 高血压
  • 心动过速
  • 胸痛

其他诊断因素

  • 焦虑(惊恐状态:轻到重度)
  • 药物引起的蚁走感
  • 以往住院戒毒治疗情况
  • 存在体内藏毒的嫌疑(为了毒品运输而吞食毒品包裹)

危险因素

  • 酒精/其他药物滥用史
  • 精神疾病史

诊断性检查

首要检查

  • 尿液毒理学±左旋咪唑的气相色谱法/质谱分析法检测
  • 心电图
  • 头部 CT
  • 脑电图
全部具体信息

需要考虑的检查

  • 腹部 X 线检查
  • 口服造影剂后的腹部 CT 检查
  • 全血细胞计数 (FBC)
全部具体信息

治疗流程

贡献者

Consultant Cardiac Pathologist/Toxicologist (ret.)

Office of the Chief Medical Examiner

San Francisco

CA

利益冲突披露
SBK is an author of a number of references cited in this monograph. SBK declares that he has no other competing interests.

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Chief

Division of Pulmonary and Critical Care Medicine

University of California, Davis

Sacramento

CA

利益冲突披露
TA declares that he has no competing interests.

Assistant Professor

Department of Emergency Medicine

Johns Hopkins University Hospital

Baltimore

MD

利益冲突披露
AS declares that he has no competing interests.

Assistant Professor of Community Health and Associate Director

Center for Interventions

Treatment and Addictions Research

Wright State University Boonshoft School of Medicine

Dayton

OH

利益冲突披露
RF declares that he has no competing interests.

Consultant Psychiatrist and Honorary Senior Lecturer

Addictions, Alcohol Research

Institute of Psychiatry

King's College London

London

UK

利益冲突披露
CK declares that he has no competing interests.

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