McGovern E, Moylett E, McMahon C J
Ir Med J. 2015 Mar;108(3):89-90.
We report a 23-month old girl who presented with bilateral epiphora who underwent bilateral lacrimal probing and syringing, during which a cocaine adrenaline solution was used. Two hours after the procedure she developed acute pulmonary oedema secondary to myocardial ischaemia. The patient was treated with intravenous glyceryltrinitrate and milrinone infusions; cardiac enzymes and left ventricular function normalised over the subsequent 72 hours. Topical administration of cocaine and adrenaline solution may have dangerous systemic cardiac effects and should always be used judiciously.
我们报告一名23个月大的女童，她因双侧泪溢接受了双侧泪道探通和冲洗术，术中使用了可卡因肾上腺素溶液。术后两小时，她因心肌缺血继发急性肺水肿。患者接受了静脉注射硝酸甘油和米力农治疗；心脏酶和左心室功能在随后72小时内恢复正常。局部应用可卡因和肾上腺素溶液可能会产生危险的全身性心脏影响，应始终谨慎使用。
