Mohammedi Kheira, Yersin Bertrand, Staeger Philippe, Gonzalez Michel, Carron Pierre-Nicolas
Service des urgences, PMU, Lausanne.
Rev Med Suisse. 2010 Sep 8;6(261):1678-81.
Cocaine use, often not recognized, is a frequent cause of consultation in the emergency room or by primary care physicians. The use of cocaine causes numerous cardiovascular and pulmonary side effects. In this context, the occurrence of a pneumothorax represents a specific complication, often misunderstood by primary care physicians. We describe here three cases of patients who suffered from subcutaneous emphysema and pneumothorax after taking cocaine and emphasize the importance of always keeping in mind the possibility of illicit substance use in such cases, especially among young and healthy patients.
可卡因使用情况常常未被识别，是急诊室或初级保健医生会诊的常见原因。使用可卡因会引发众多心血管和肺部副作用。在这种情况下，气胸的发生是一种特殊并发症，常被初级保健医生误解。我们在此描述三例服用可卡因后出现皮下气肿和气胸的患者病例，并强调在此类病例中，尤其是年轻健康患者中，始终牢记存在非法药物使用可能性的重要性。
