초록

Purpose: Methamphetamine is an ongoing illegal drug problem worldwide, and its use in South Korea has spread over the last few years. In this study, a clinical review of patients who visited emergency medical centers with positive methamphetamine tests was conducted. Methods: Patients underwent methamphetamine screening based on physician suspicion over a period of 13 years. Their patient characteristics, clinical features, and drug administration properties were described. Results: A total of 297 patients were included, with 19 positive methamphetamine results. Patient age ranged from 21 to 84, with a mean of 37.52. Additionally, 13 were male and 6 were female. The mean BP, PR, RR were 131/82 mmHg, 94/min, 20/min. Saturation levels were all over 95%. Five patients had a psychiatric history. Patient showed varied symptoms ranging from mental changes to chest discomfort. In addition, seven showed abnormal electrocardiography findings and one showed elevated cardiac enzyme levels. Other laboratory results revealed no significantly abnormal results. Six patients also suffered from related trauma. The majority of patients consumed the methamphetamine orally, with unknown motivation at unknown locations. Most were transported by 119 and six patients co-ingested other drugs. Conclusion: Patients who showed positive results to a methamphetamine screening test in Korea visited the emergency medical center mostly by 119 and were unaware of or reluctant to reveal the fact that they had ingested methamphetamine. Emergency physicians should be more aware of the possibility that a patient may have consumed methamphetamine.

키워드

Methamphetamine, Poisoning, Republic of Korea

참고문헌(10)open

  1. [학술지] Courtney KE / 2014 / Methamphetamine: an update on epidemiology, pharmacology, clinical phenomenology, and treatment literature / Drug Alcohol Dependence 143 : 11 ~ 21

  2. [학술지] Cruickshank CC / 2009 / A review of the clinical pharmacology of methamphetamine / Addiction 104 : 1085 ~ 1099

  3. [학술지] White SR / 2002 / Amphetamine toxicity / Seminars in respiratory and critical care medicine 23 : 27 ~ 36

  4. [단행본] Mullen JM / 2018 / Amphetamine Related Psychiatric Disorders;StatPearls / StatPearls : 1 ~ 5

  5. [학술지] Vearrier D / 2012 / Methamphetamine: history, pathophysiology, adverse health effects, current trends, and hazards associated with the clandestine manufacture of methamphetamine / Disease-a-month 58 : 38 ~ 89

  6. [인터넷자료] / http://www.spo.go.kr/spo/major/drug/data/drugbbs04.jsp

  7. [학술지] Shukla RK / 2012 / An evolving problem: methamphetamine production and trafficking in the United States / The International journal on drug policy 23 : 426 ~ 435

  8. [학술지] Brouwer KC / 2006 / Trends in production, trafficking, and consumption of methamphetamine and cocaine in Mexico / Substance use & misuse 41 : 707 ~ 727

  9. [학술지] Richards JR / 2017 / Methamphetamine Use and Emergency Department Utilization: 20 Years Later / Journal of addiction 1 : 26 ~ 33

  10. [학술지] Herbeck DM / 2015 / Mortality, causes of death, and health status among methamphetamine users / Journal of addictive diseases 34 : 88 ~ 100