García Castaño J, Muiño Míguez A, Pinilla Llorente B, González Ramallo V, Merino Muñoz D, García Román J M
Sección de Medicina de Urgencias, Hospital General Gregorio Marañón, Madrid.
An Med Interna. 1992 Jun;9(6):282-4.
Medical problems related to cocaine consumption are not rare in our environment; however, to this respect, descriptions in the spanish literature are scarce. We present three cases of intracerebral hemorrhage which occurred after cocaine consumption (intranasal route in two cases and intravenous route in one case). In the three cases, another associated risk factor was observed (alcohol in one case, hypertension in other case, arteriovenous malformation in the third case). We comment on the pathophysiological theories of the cause of bleeding, high-lighting the routine search of this association.
在我们所处的环境中,与可卡因使用相关的医学问题并不罕见;然而,在这方面,西班牙文文献中的描述却很匮乏。我们呈现了三例可卡因使用后发生的脑出血病例(两例为经鼻途径,一例为静脉途径)。在这三例病例中,还观察到了另一个相关的风险因素(一例为酒精,另一例为高血压,第三例为动静脉畸形)。我们对出血原因的病理生理理论进行了评论,强调了对这种关联进行常规排查的重要性。