Kloss Brian T, Broton Claire E, Rodriguez Elliot
Department of Emergency Medicine, Upstate Medical University, 550 East Genesee Street, Syracuse, NY 13202 USA.
Int J Emerg Med. 2010 Aug 21;3(4):435-7. doi: 10.1007/s12245-010-0205-9.
Chest pain is a common presenting symptom of cocaine users to the emergency department that requires a thorough work up. Pneumomediastinum is an uncommon complication of cocaine abuse that occurs more commonly when cocaine is smoked, but can also occur when cocaine is nasally insufflated. Our case report presents a patient with pneumomediastinum secondary to cocaine insufflation and reviews the necessary diagnostic tests that must be performed to rule out secondary pneumomediastinum, a severe life-threatening condition. Our case is unique, as it is one of a few reported cases of pneumomediastinum occurring after the use of intranasal cocaine.
胸痛是可卡因使用者前往急诊科就诊时常见的症状，需要进行全面检查。纵隔气肿是可卡因滥用的一种罕见并发症，吸食可卡因时更常发生，但鼻内吸入可卡因时也可能发生。我们的病例报告介绍了一名因鼻内吸入可卡因继发纵隔气肿的患者，并回顾了为排除继发纵隔气肿（一种严重的危及生命的疾病）而必须进行的必要诊断测试。我们的病例很独特，因为它是少数几例报道的鼻内使用可卡因后发生纵隔气肿的病例之一。
