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Rethinking cocaine-associated chest pain and acute coronary syndromes.重新思考可卡因相关性胸痛与急性冠脉综合征。
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Cocaine use and acute myocardial infarction.可卡因使用与急性心肌梗死。
Emerg Med Clin North Am. 2001 May;19(2):493-510. doi: 10.1016/s0733-8627(05)70197-8.
2
Cocaine-associated myocardial infarction.可卡因相关性心肌梗死
J R Soc Med. 1996 Aug;89(8):443-7.
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Activation of human platelets by cocaine.可卡因对人血小板的激活作用。
Circulation. 1993 Sep;88(3):876-83. doi: 10.1161/01.cir.88.3.876.
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The management of cocaine-associated myocardial ischemia.
N Engl J Med. 1995 Nov 9;333(19):1267-72. doi: 10.1056/NEJM199511093331907.
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Cocaine-associated chest pain: one-year follow-up.可卡因相关性胸痛:一年随访
Acad Emerg Med. 1995 Mar;2(3):179-84. doi: 10.1111/j.1553-2712.1995.tb03191.x.
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Antagonism of intravenous cocaine lethality in nonhuman primates.非人类灵长类动物静脉注射可卡因致死性的拮抗作用。
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Acute cocaine intoxication in the conscious dog: studies on the mechanism of lethality.
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8
Pneumomediastinum and pneumothorax after inhaling alkaloidal cocaine.
Ann Emerg Med. 1981 Apr;10(4):213-5. doi: 10.1016/s0196-0644(81)80166-7.
9
Pneumopericardium from cocaine inhalation.
N Engl J Med. 1985 Jul 4;313(1):48-9. doi: 10.1056/NEJM198507043130113.
10
Cocaine-induced coronary-artery vasoconstriction.可卡因诱发的冠状动脉血管收缩。
N Engl J Med. 1989 Dec 7;321(23):1557-62. doi: 10.1056/NEJM198912073212301.

酚妥拉明治疗可卡因相关性急性冠状动脉综合征(CAACS)。

Phentolamine therapy for cocaine-association acute coronary syndrome (CAACS).

作者信息

Chan Gar Ming, Sharma Rahul, Price Dennis, Hoffman Robert S, Nelson Lewis S

机构信息

Department of Emergency Medicine, North Shore University Hospital, New York University School of Medicine, 300 Community Drive, Manhasset, NY 10030, USA.

出版信息

J Med Toxicol. 2006 Sep;2(3):108-11. doi: 10.1007/BF03161019.

DOI:10.1007/BF03161019
PMID:18072128
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3550159/
Abstract

INTRODUCTION

The emergency department (ED) evaluation of cocaine-associated acute coronary syndrome (CAACS) is often a diagnostic and therapeutic challenge.

CASE REPORT

We are reporting on the treatment of a patient with cocaine-associated acute coronary syndrome (CAACS) who did not benefit from standard therapy, but who eventually responded positively to phentolamine, an alpha-adrenergic receptor antagonist.

DISCUSSION

This report should encourage physicians to add phentolamine to their pharmacotherapeutic armamentarium in the treatment of CAACS.

摘要

引言

急诊科对可卡因相关性急性冠状动脉综合征(CAACS)的评估常常是一项诊断和治疗挑战。

病例报告

我们报告了一名可卡因相关性急性冠状动脉综合征(CAACS)患者的治疗情况,该患者未从标准治疗中获益,但最终对α-肾上腺素能受体拮抗剂酚妥拉明产生了积极反应。

讨论

本报告应鼓励医生在治疗CAACS时将酚妥拉明纳入其药物治疗手段中。