吸入“除尘宝”后出现的严重心肌病。

Severe Cardiomyopathy after Huffing Dust-Off™.

作者信息

Cates Alexis L, Cook Matthew D

机构信息

William Carey University College of Osteopathic Medicine, Hattiesburg, MS 39401, USA.

Department of Emergency Medicine, Lehigh Valley Hospital and Health Network/USF MCOM, Allentown, PA 18017, USA.

出版信息

Case Rep Emerg Med. 2016;2016:9204790. doi: 10.1155/2016/9204790. Epub 2016 May 25.

DOI:10.1155/2016/9204790

PMID:27313914

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4897681/

Abstract

A 34-year-old man was found down in a parking lot after huffing fifteen cans of Dust-Off. Though lucid during the initial hospital evaluation, the patient experienced a generalized seizure followed by a torsades de pointes arrhythmia and was resuscitated. An echocardiogram revealed left and right ventricular dysfunction with an ejection fraction of 25%. This unique outcome of inhalant abuse has scarcely been reported in similar cases. The patient fully recovered and had a normal ejection fraction prior to discharge.

摘要

一名34岁男子在吸入15罐除尘剂后被发现倒在停车场。尽管在最初的医院评估中神志清醒，但该患者随后出现全身性癫痫发作，接着是尖端扭转型室性心动过速心律失常，并接受了复苏。超声心动图显示左、右心室功能障碍，射血分数为25%。这种吸入性药物滥用的独特结果在类似病例中鲜有报道。患者在出院前完全康复，射血分数正常。