Porter Robert, O'Reilly Heather
Discipline of Pediatrics, Faculty of Medicine, Memorial University of Newfoundland, Newfoundland and Labrador, Canada.
Pediatr Emerg Care. 2011 Aug;27(8):742-4. doi: 10.1097/PEC.0b013e318226df00.
Children and adolescents with pulmonary hemorrhage are infrequently encountered in the emergency department (ED). We describe a case of a 16 year-old boy who presented to a pediatric ED with pulmonary hemorrhage and respiratory distress. The patient's unusual initial presentation resulted in the consideration of a broad differential diagnosis for his symptoms, including traumatic, neurological, respiratory, and toxicological causes. After resuscitation in the ED, a prolonged admission, and extensive testing, no cause could be found other than severe opioid toxicity. This case illustrates a rare, life-threatening presentation of opiod toxicity in a healthy adolescent and underlines the potentially serious nature of such exposures.
患有肺出血的儿童和青少年在急诊科并不常见。我们描述了一名16岁男孩的病例，他因肺出血和呼吸窘迫被送往儿科急诊科。患者不寻常的初始表现导致对其症状进行了广泛的鉴别诊断，包括创伤性、神经性、呼吸性和毒理学原因。在急诊科复苏、长时间住院和广泛检查后，除了严重的阿片类药物毒性外，未发现其他病因。该病例说明了健康青少年中罕见的、危及生命的阿片类药物毒性表现，并强调了此类暴露的潜在严重性。
