Reynolds Ben C, Penman Dawn Km, Howatson Allan G, Jackson Lesley A, Skeoch Charles H
J Med Case Rep. 2009 Sep 14;3:9259. doi: 10.4076/1752-1947-3-9259.
Although the adverse effects of cocaine use in pregnancy are well recognised, we believe this case highlights the importance of considering the route of administration, and suggests the possibility of multifocal damage relating to intravenous use.
A Caucasian female baby of 29-weeks' gestation was spontaneously delivered and subsequently developed multi-organ failure considered unrelated to simple prematurity. Intensive care was re-orientated following the development of massive intraventricular haemorrhage.
This case illustrates the need for regular cranial ultrasound in babies of pregnancies at risk due to intravenous cocaine use and also the necessity of counselling women who misuse cocaine in the antenatal period. As such, this article will be of most interest to paediatric and obstetric staff.
尽管孕期使用可卡因的不良影响已广为人知，但我们认为该病例凸显了考虑用药途径的重要性，并提示了与静脉注射使用相关的多灶性损害的可能性。
一名孕29周的白人女婴顺产，随后出现多器官功能衰竭，认为与单纯早产无关。在发生大量脑室内出血后，重症监护方向重新调整。
该病例表明，对于因孕期静脉注射可卡因而有风险的婴儿，需要定期进行头颅超声检查，同时也有必要在产前对滥用可卡因的妇女进行咨询。因此，本文将对儿科和产科工作人员最有吸引力。
