身体填塞的临床结果和处理:回顾性回顾。

IF 1.4 4区 医学 Q2 EMERGENCY MEDICINE
Angela L Chiew, Abbey Tan, Bash Jagarlamudi, Dinuka Dadallage, Betty S H Chan, Katherine Z Isoardi
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引用次数: 0

摘要

人体填塞包括为了隐藏而匆忙吞下密封不良的药品包。处理方法从不成像到CT扫描和观察6-24小时或直到数据包通过。本研究描述了人体填充物的特点、管理和结果。方法:对2014-2023年向新南威尔士州毒物信息中心和东南地区毒理学服务中心报告的尸体填充物进行回顾性分析。其中包括为隐瞒而服用药物的患者。排除了身体包装者、身体推动者和没有医疗记录的病例。数据从数据库和医疗记录中收集。结果:192例患者中,126例符合纳入标准(85%为男性,中位年龄30岁)。中位就诊时间为3.2 h (IQR: 1.7-6.6, n = 84)。包裹的中位数为1个(IQR: 1-3),气球是最常见的(56%)。隐藏物质包括阿片类药物(39%)和安非他明(29%)。32人摄入多种物质,26人否认或不明摄入。61例(48%)出现症状,通常是镇静(19例)或躁动(13例)。有症状的患者多隐匿镇静剂(29例)或兴奋剂(28例),而摄入烟草或否认摄入的患者通常无症状。影像学包括腹部x线(63)和CT(50)。x线和CT的灵敏度分别为25%和52%。无症状患者在住院期间无出现症状。12例出院后再次出现新症状。结论:本研究发现,填充物隐藏了多种药物,其中阿片类药物和兴奋剂更容易引起症状。无症状患者通常有良性病程。成像灵敏度有限;把它留给那些高风险的人似乎是合理的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Outcomes and Management of Body Stuffing: A Retrospective Review.

Introduction: Body stuffing involves hastily ingesting poorly sealed drug packets for concealment. Management varies from no imaging to CT scans and observation for 6-24 h or until packet passage. This study describes the characteristics, management, and outcomes of body stuffers.

Method: A retrospective review was conducted on body stuffers reported to the NSW Poisons Information Centre and South-East Area Toxicology Service (2014-2023). Patients who ingested drugs for concealment were included. Body packers, body pushers, and cases without medical records were excluded. Data were collected from databases and medical records.

Results: Of 192 patients, 126 met inclusion criteria (85% male, median age 30 years). Median time to presentation was 3.2 h (IQR: 1.7-6.6, n = 84). The median number of packages was one (IQR: 1-3), with balloons being the most common (56%). Concealed substances included opioids (39%) and amphetamines (29%). Thirty-two ingested multiple substances, while 26 denied or had unknown ingestion. Symptoms were present in 61 (48%), commonly sedation (19) or agitation (13). Symptomatic patients mostly concealed sedatives (29) or stimulants (28), while those ingesting tobacco or denying ingestion were usually asymptomatic. Imaging included abdominal X-ray (63) and CT (50). Sensitivity for X-ray and CT was 25% and 52% respectively. No asymptomatic patients developed symptoms during their stay. Twelve re-presented with new symptoms following discharge.

Conclusion: This study found that body stuffers concealed various drugs, with opioids and stimulants more likely to cause symptoms. Asymptomatic patients typically had a benign course. Imaging has limited sensitivity; reserving it for those with more high-risk features of exposure seems reasonable.

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来源期刊
Emergency Medicine Australasia
Emergency Medicine Australasia 医学-急救医学
CiteScore
3.70
自引率
13.00%
发文量
217
审稿时长
6-12 weeks
期刊介绍: Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.
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