自发性纵隔气肿：甲基苯丙胺使用的一种罕见并发症。
Spontaneous pneumomediastinum: A rare complication of methamphetamine use.
作者信息
Albanese Jessica, Gross Cole, Azab Mohamed, Mahalean Sinziana, Makar Ranjit
机构信息
Department of Internal Medicine, University of Nevada School of Medicine, Las Vegas, NV, USA.
出版信息
Respir Med Case Rep. 2017 Mar 10;21:25-26. doi: 10.1016/j.rmcr.2017.03.007. eCollection 2017.
OBJECTIVE
To present an unusual case of spontaneous pneumomediastinum subsequent to recreational amphetamine use.
CASE REPORT
A young African American adult male was admitted to internal medicine service for treatment of rhabdomyolysis secondary to methamphetamine use. On admission, he was complaining of chest pain in addition to nausea and generalized muscle aches. By his second hospital day, chest pain had resolved yet physical exam demonstrated crepitation of the anterior chest and left axilla. Portable chest x-ray revealed subcutaneous emphysema in addition to pneumomediastinum.
CONCLUSION
Spontaneous pneumomediastinum is a rare complication of amphetamine use that is often associated with subcutaneous emphysema and can be diagnosed with chest x-ray. Management is conservative, with observation, pain control, and supplemental oxygen as needed.
目的
呈现一例使用娱乐性苯丙胺后发生自发性纵隔气肿的罕见病例。
病例报告
一名年轻的非裔美国成年男性因使用甲基苯丙胺继发横纹肌溶解症而入住内科接受治疗。入院时，他除了恶心和全身肌肉酸痛外，还诉说胸痛。到住院第二天，胸痛已缓解，但体格检查发现前胸和左腋窝有捻发音。便携式胸部X光片显示除纵隔气肿外还有皮下气肿。
结论
自发性纵隔气肿是苯丙胺使用的一种罕见并发症，常与皮下气肿相关，可通过胸部X光片诊断。治疗是保守的，包括观察、疼痛控制以及根据需要补充氧气。
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