Houghton Lucy, Jones Quentin, Wathen Chris
Stoke Mandeville Hospital, Buckinghamshire, UK.
Acute Med. 2013;12(2):96-7.
A 25-year man presented to the Accident and Emergency Department complaining of dizziness and shortness of breath after taking 70 grams of cocaine over 10 hours. He said a friend had noticed that his skin had turned dark blue. On examination the patient was severely centrally and peripherally cyanosed. His pulse oximeter oxygen saturations were 88% on air. An arterial blood gas showed a methaemoglobin level of 45.6%. The patient was diagnosed with cocaine-induced methaemoglobinaemia and given methyl thioninium chloride (methylene blue). He made an uneventful recovery.
一名25岁男子前往急诊部就诊，主诉在10小时内服用70克可卡因后出现头晕和呼吸急促。他说一位朋友注意到他的皮肤变成了深蓝色。检查时，患者出现严重的中央性和外周性发绀。他的脉搏血氧饱和度在空气中为88%。动脉血气显示高铁血红蛋白水平为45.6%。该患者被诊断为可卡因诱导的高铁血红蛋白血症，并给予亚甲蓝治疗。他康复过程顺利。
