人体藏毒：从癫痫发作到剖腹手术
Body packing: from seizures to laparotomy.
作者信息
Janczak Joanna M, Beutner Ulrich, Hasler Karin
机构信息
Department of General, Visceral and Transplantation Surgery, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007 St. Gallen, Switzerland.
Emergency Department, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007 St. Gallen, Switzerland.
出版信息
Case Rep Emerg Med. 2015;2015:208047. doi: 10.1155/2015/208047. Epub 2015 Mar 26.
Body packing is a common method for illegal drug trafficking. Complications associated with body packing can be severe and even lead to rapid death. Thus, a timely diagnosis is warranted. As most body packers initially do not show any symptoms, making a correct diagnosis can be rather challenging. We describe a case of a 41-year-old male, who was admitted with an epileptic seizure and who turned out to be a cocaine intoxicated body packer. Due to neurological and cardiovascular deterioration an emergency surgery was performed. Four bags of cocaine could be removed. We discuss the current management regimen in symptomatic and asymptomatic body packers and highlight pearls and pitfalls with diagnosis and treatment.
人体藏毒是非法毒品贩运的一种常见方式。与人体藏毒相关的并发症可能很严重，甚至会导致迅速死亡。因此，需要及时诊断。由于大多数人体藏毒者最初没有任何症状，做出正确诊断可能颇具挑战性。我们描述了一例41岁男性病例，该患者因癫痫发作入院，结果发现是一名可卡因中毒的人体藏毒者。由于神经和心血管功能恶化，进行了急诊手术。取出了四包可卡因。我们讨论了有症状和无症状人体藏毒者的当前管理方案，并强调了诊断和治疗中的要点与陷阱。
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