Pourmotabed Samiramis, Jalili Mohammad
Department of Emergency Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Emergency Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Case Rep Emerg Med. 2016;2016:9730484. doi: 10.1155/2016/9730484. Epub 2016 Mar 28.
Crystal is a synthetic substance with an increasing rate of abuse. It may cause patients to present to the emergency department because of its acute complications. We depict two cases of pneumomediastinum following inhalation of crystal. Both cases had used crystal for recreational purposes. In one case, a young man presenting to the ED with the retrosternal chest pain and neck pain was diagnosed to have pneumomediastinum and pneumopericardium. The other patient presenting with dyspnea and chest pain was shown to have collection of air within mediastinum. Both patients underwent a series of diagnostic evaluations and, after a course of observation, were discharged without a surgical intervention. Patients with chest pain following inhalation of crystal may suffer from this complication.
冰毒是一种滥用率不断上升的合成物质。它可能因其急性并发症导致患者前往急诊科就诊。我们描述了两例吸入冰毒后发生纵隔气肿的病例。两例均将冰毒用于娱乐目的。其中一例，一名因胸骨后胸痛和颈部疼痛前往急诊科就诊的年轻男子被诊断为纵隔气肿和心包积气。另一例表现为呼吸困难和胸痛的患者被发现纵隔内有积气。两名患者均接受了一系列诊断评估，经过一段时间的观察后，未经手术干预即出院。吸入冰毒后出现胸痛的患者可能会发生这种并发症。
