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頁籤選單縮合
題 名 | 笑氣(氧化亞氮)濫用=Nitrous Oxide Abuse |
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作 者 | 馬大元; 高譽誠; 魯思翁; | 書刊名 | 臺灣精神醫學 |
卷 期 | 16:3 2002.09[民91.09] |
頁 次 | 頁243-248 |
分類號 | 415.8753 |
關鍵詞 | 物質濫用; 笑氣; 氧化亞氮; 維生素B12; Substance abuse; Laughing gas; Nitrous oxide; Vitamin B12; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:笑氣是最早發現的麻醉藥物之一,笑氣濫用的歷史由來已久。本文報告一笑氣濫用之病例,並對其相關問題加以討論。 病例報告:一名20歲之未婚男性,過去即曾有數次使用安非他命、「搖頭丸」及笑氣之經驗。在分發部隊後出現適應障礙及情緒症狀,並在一次大量使用笑氣後,出現譫妄、怪異行為、記憶缺失及木僵狀態,藥物治療後症狀於一週內減輕。 結論:笑氣目前於臨床上主要用於輔助全身麻醉與牙科之麻醉,商業上則常做為發泡奶油之加壓推進劑。其濫用主要發生在醫療及食品業從事人員等,工作上較容易接觸者。笑氣會不可逆地將維生素B12中的鈷加以氧化,使其失去活性。若長期、大量使用,會造成神經及血液病變,其症狀與維生素B12缺乏類似。國內對於笑氣濫用之盛行率未曾做過統計,目前亦無法律可加以管制,有關當局及臨床醫師應對此問題提高警覺。 |
英文摘要 | Objective: Nitrous oxide, commonly known as laughing gas, was one of the first substances employed as an anesthetic, however, abuse has been occurring for more than 150 years. We report a case of nitrous oxide abuse and review related articles. Case Report: A 20-year-old unmarried male with a past history of amphetamine, MDMA and nitrous oxide abuse developed maladjustment with affective symptoms after he was recruited for military service. He inhaled a large dose of nitrous oxide at a party, and subsequently delirium, strange behavior, memory impairment and catatonic state were observed. The symptoms subsided after a week of psychotropic-drug therapy. Conclusion: Nitrous oxide is a widely used gaseous anesthetic. It is also used as a propellant in whipped-cream dispensers. Its misuse is most commonly among health-care and food-service workers. Nitrous oxide irreversibly oxidizes cobalt and suppresses the activity of vitamin B12. Large doses or long-term use may cause neurological and hematological damage. No epidemiological information for nitrous oxide abuse is currently available in Taiwan, nor is their legislation to regulate its abuse. Clinicians and relevant authorities should remain alert for this aberrant behavior. |
本系統中英文摘要資訊取自各篇刊載內容。