Abuse of inhalation anesthetics.
Abuse of inhalation anesthetics.
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滥用吸入麻醉剂。
DOI：
10.1001/jama.1984.03340290024012
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发表时间：
1984
期刊：
影响因子：
--
通讯作者：
M. Bass
中科院分区：
文献类型：
--
作者：
M. Bass
致编辑在Ward等人关于麻醉中药物滥用的文章中，1未引用吸入性滥用病例。在我的全国性调查中，发现24例成年男性死亡是由于在医院手术室中滥用了自我给药的吸入剂。其中三名手术室工作人员是医生，另一名是手术室技术员。医生的年龄分别为30岁、38岁和52岁。其中两人死于氟烷滥用，另两人死于环丙烷。与轻度平面麻醉相关的心律失常是这些猝死的最可能原因。Spencer等人3描述了另外3例手术室技术人员吸入氟烷滥用致死病例。虽然挥发性麻醉剂不是最常被医院工作人员滥用的药物，
To the Editor.— In the article on drug abuse in anesthesia by Ward et al,1no cases of inhalation abuse were cited. In my nationwide survey on sudden death in teenagers associated with sniffing abuse of volatile hydrocarbons,2four adult male deaths were discovered in which the self-administered inhalants were abused in hospital operating rooms. Three of the operating room personnel were physicians and the other was an operating room technician. The ages of the physicians were 30, 38, and 52 years. Two of the deaths were attributed to halothane abuse and the other two to cyclopropane. Cardiac arrhythmia associated with light plane anesthesia is the most likely cause of these sudden deaths. Spencer et al3have described three additional fatal cases of inhalation abuse of halothane in operating room technicians. Although volatile anesthetic agents are not the drugs most commonly abused by hospital personnel who have