McCarroll K A, Roszler M H
Wayne State University, Detroit, Michigan.
J Thorac Imaging. 1991 Jan;6(1):30-5. doi: 10.1097/00005382-199101000-00006.
Drug-related diseases of the lungs have been noted with increasing frequency in urban patients. These entities are also being seen in smaller urban and suburban settings, however. The spectrum of pathology is also changing coincident with the marked increase in crack cocaine use. The incidence of abnormal chest radiographs in cocaine users admitted with pulmonary complaints has ranged from 12% to 55%. Findings have included focal air space disease, atelectasis, pneumothorax, pneumomediastinum, and pulmonary edema. Pulmonary complications related to injections of illicit drugs have included pulmonary infection, pulmonary edema, particulate embolism, and talcosis. The "pocket shot" places the patient at risk for a unique set of complications. Radiologists should be aware of this wide spectrum of pulmonary disease that may be related to this increasingly frequent social problem.
肺部药物相关疾病在城市患者中被发现的频率越来越高。不过，在较小的城市和郊区环境中也能看到这些病症。随着快克可卡因使用量的显著增加，病理谱也在发生变化。因肺部不适入院的可卡因使用者中，胸部X光片异常的发生率在12%至55%之间。检查结果包括局灶性气腔疾病、肺不张、气胸、纵隔气肿和肺水肿。与注射非法药物相关的肺部并发症包括肺部感染、肺水肿、颗粒栓塞和滑石肺。“袋式注射”使患者面临一系列独特并发症的风险。放射科医生应了解这一广泛的可能与这个日益常见的社会问题相关的肺部疾病。
