Fassaert L D, Visser M C
Gemeentelijke Geneeskundige en Gezondheidsdienst, cluster Algemene Gezondheidszorg en Forensische Geneeskunde, Postbus 2200, 1000 CE Amsterdam.
Ned Tijdschr Geneeskd. 2003 May 31;147(22):1041-5.
A 45-year-old man called for the hospital in a confused and anxious state. Another man of around 30 walked into a hospital sweating and complaining of abdominal pain, and subsequently suffered several epileptic seizures and died before being recognised as a body packer. A 39-year-old man suffered an epileptic seizure on the aeroplane and a 21-year-old man was found dead, having suffered from abdominal pain the previous day. All were found to have swallowed cocaine packets. The two eldest men underwent emergency surgery: one died as the result of cocaine intoxication and one recovered. Body packers, people carrying cocaine packets in their bodies, are arriving in Europe in increasing numbers, mainly from South America. Body-packer syndrome consists of intestinal occlusion or potentially lethal intoxication caused by rupture of the packets. Awareness of the body packers' circumstances and the clinical signs of body-packer syndrome makes early recognition possible. In Amsterdam, the identification of body packers after arrival at the airport by the Schiphol-team and the medical follow-up by the Forensic Medicine Department of the Municipal Health Service of Amsterdam, result in a relatively low mortality risk. Early detection of intoxication will save lives.
一名45岁男子在神志不清且焦虑的状态下呼叫了医院。另一名30岁左右的男子走进医院，汗流浃背且抱怨腹痛，随后癫痫发作数次，在被确认为体内藏毒者之前死亡。一名39岁男子在飞机上癫痫发作，一名21岁男子被发现死亡，前一天他曾抱怨腹痛。所有人均被发现吞食了可卡因包裹。年纪较大的两名男子接受了紧急手术：一人因可卡因中毒死亡，一人康复。体内藏毒者，即体内携带可卡因包裹的人，正越来越多地抵达欧洲，主要来自南美洲。体内藏毒者综合征包括肠梗阻或因包裹破裂导致的潜在致命性中毒。了解体内藏毒者的情况以及体内藏毒者综合征的临床症状有助于早期识别。在阿姆斯特丹，史基浦团队在机场对体内藏毒者进行识别，阿姆斯特丹市卫生服务局法医部门进行医学跟踪，使得死亡风险相对较低。早期发现中毒情况可挽救生命。
