Covarelli Piero, Burini Gloria, Castellani Elisa, Lombardo Francesco, Caracappa Daniela, Noya Giuseppe, Rulli Antonio
Ann Ital Chir. 2015 Jul-Aug;86(4):371-7.
Body packing is a way to deliver packages of drugs hidden in body cavities. In Europe, as noted the latest report coming from the Brussels observatory, there are 74 million drugs consumers. Italy is in pole position and Perugia was considered as a "capital city" in the drug market. Body packers usually swallow the drug packets, although their insertion into the rectum and vagina has also been reported. The management depends on whether or not the patient becomes symptomatic. Surgery is indicated in presence of repeated bouts of drug toxicity not controlled by medical treatment, radiological evidence of packet retention in the stomach, intestinal obstruction or perforation. It is also important to emphasize that, in a multidisciplinary context, the patient's management before reaching the operating theater if symptomatic, is aimed to stabilization and is usually demanded to Intensive Care Unit (ICU) physicians. We present our center recent experience with body packers, managed both with surgical and conservative treatments.
Body packers, Drugs, Emergency surgery, Foreign bodies.
人体藏毒是一种将藏于体腔的毒品包裹进行运输的方式。在欧洲，如布鲁塞尔观察站发布的最新报告所述，有7400万吸毒者。意大利位居榜首，佩鲁贾被视为毒品市场的“首府”。人体藏毒者通常会吞下毒品包裹，不过也有将其塞入直肠和阴道的报道。治疗方式取决于患者是否出现症状。若药物毒性反复发作且药物治疗无法控制，有胃部包裹滞留的影像学证据、肠梗阻或穿孔，则需进行手术。同样重要的是要强调，在多学科背景下，如果患者出现症状，在进入手术室之前的治疗旨在稳定病情，通常由重症监护病房（ICU）医生负责。我们介绍我们中心近期对人体藏毒者的治疗经验，包括手术治疗和保守治疗。
人体藏毒者、毒品、急诊手术、异物
