Olmedo R, Nelson L, Chu J, Hoffman R S
Division of Toxicology, Department of Emergency Medicine, Mount Sinai School of Medicine, The Mount Sinai Medical Center, The Mount Sinai Hospital, New York, NY 10029-6574, USA.
Am J Emerg Med. 2001 Nov;19(7):593-6. doi: 10.1053/ajem.2001.21720.
The current recommendations for body-packers are based on packet content, the presence of drug toxicity, or of bowel obstruction. Asymptomatic patients are usually treated with activated charcoal and whole bowel irrigation (WBI). Surgical removal of packets is advocated in symptomatic cocaine body-packers and in those with bowel obstruction. Currently, surgery is regarded as definitive. However, we report 2 body-packers who show the limitations of this technique. These cases show the importance of confirming the absence of drug packets in the gastrointestinal (GI) tract as the definitive end-point in the treatment of body-packers.
目前针对体内藏毒者的治疗建议是基于包裹内容物、是否存在药物毒性或肠梗阻情况。无症状患者通常采用活性炭和全肠道灌洗（WBI）进行治疗。有症状的可卡因体内藏毒者以及出现肠梗阻的患者主张进行包裹手术取出。目前，手术被视为根治方法。然而，我们报告了2例显示该技术局限性的体内藏毒者病例。这些病例表明，确认胃肠道（GI）内无毒品包裹作为体内藏毒者治疗的最终终点非常重要。
