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一名体内藏毒者因可卡因心脏毒性导致的心源性猝死

Sudden Cardiac Death of a Body Packer Due to Cocaine Cardiotoxicity.

作者信息

Pramanik Parthasarathi, Vidua Raghvendra Kumar

机构信息

Institute of Forensic Science and Legal Medicine Ministry of National Security, Jamaica.

Department of Forensic Medicine AIIMS BHOPAL, India.

出版信息

Clin Med Insights Pathol. 2016 Nov 24;9:33-35. doi: 10.4137/CPath.S41070. eCollection 2016.

DOI:10.4137/CPath.S41070
PMID:27932899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5123768/
Abstract

This article presents a case of sudden cardiac death due to the effects of cocaine concealed in the body of a male drug smuggler in his 40s, a so-called body packer. A total of 57 body packets filled with cocaine powder were discovered in his body cavities. The detailed autopsy examination, including histopathology and toxicology findings, is discussed with the aim of describing the mechanism of cocaine intoxication in the body packer and an analysis of cocaine-induced cardiotoxicity and sudden death.

摘要

本文介绍了一例40多岁男性毒品走私者（即所谓的人体藏毒者）体内藏匿的可卡因导致心源性猝死的病例。在他的体腔内共发现57个装满可卡因粉末的人体包裹。文中讨论了详细的尸检检查，包括组织病理学和毒理学结果，目的是描述人体藏毒者体内可卡因中毒的机制，并分析可卡因引起的心脏毒性和猝死情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77c/5123768/253b0eee0cee/cpath-9-2016-033f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77c/5123768/3f8ab083ab28/cpath-9-2016-033f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77c/5123768/253b0eee0cee/cpath-9-2016-033f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77c/5123768/3f8ab083ab28/cpath-9-2016-033f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77c/5123768/253b0eee0cee/cpath-9-2016-033f2.jpg

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本文引用的文献

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Oesophageal and gastric obstruction in a cocaine body packer.一名可卡因人体藏毒者的食管和胃梗阻
J Forensic Leg Med. 2014 Oct;27:62-4. doi: 10.1016/j.jflm.2014.08.013. Epub 2014 Aug 29.
2
"Drug mules" as a radiological challenge: sensitivity and specificity in identifying internal cocaine in body packers, body pushers and body stuffers by computed tomography, plain radiography and Lodox.“运毒者”作为放射学挑战：通过计算机断层扫描、普通放射摄影和 Lodox 识别体内藏毒者、体内藏毒者和体内藏毒者体内可卡因的敏感性和特异性。
Eur J Radiol. 2012 Oct;81(10):2518-26. doi: 10.1016/j.ejrad.2011.11.025. Epub 2011 Dec 15.
3
Rethinking cocaine-associated chest pain and acute coronary syndromes.
异物吸入变得离奇：烟斗吸入。
Cureus. 2021 Feb 10;13(2):e13267. doi: 10.7759/cureus.13267.
4
Global cocaine intoxication research trends during 1975-2015: a bibliometric analysis of Web of Science publications.1975 - 2015年全球可卡因中毒研究趋势：基于科学网出版物的文献计量分析
Subst Abuse Treat Prev Policy. 2017 Feb 2;12(1):6. doi: 10.1186/s13011-017-0090-9.
重新思考可卡因相关性胸痛与急性冠脉综合征。
Mayo Clin Proc. 2011 Dec;86(12):1198-207. doi: 10.4065/mcp.2011.0338.
4
A cocaine body packer case report: clinical and forensic aspects.
Clin Toxicol (Phila). 2009 Jul;47(6):590-1. doi: 10.1080/15563650902956423.
5
Catecholamine-induced cardiomyopathy.儿茶酚胺诱导性心肌病
Endocr Pract. 2008 Dec;14(9):1137-49. doi: 10.4158/EP.14.9.1137.
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Forensic Sci Int. 2005 Jun 30;151(1):81-4. doi: 10.1016/j.forsciint.2004.07.005.
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Prognosis of cocaine body-packers.可卡因人体藏毒者的预后
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