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氧化亚氮所致维生素B12缺乏症。

Nitrous oxide-induced vitamin B12 deficiency.

作者信息

Stockton Lindsey, Simonsen Cameron, Seago Susan

机构信息

Department of Internal Medicine, Texas A&M Health Science Center College of Medicine and Baylor Scott and White Memorial Hospital, Temple, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2017 Apr;30(2):171-172. doi: 10.1080/08998280.2017.11929571.

Abstract

Nitrous oxide is a gas that is odorless, colorless, and has a sweet taste at room temperature. Nitrous oxide has several uses, including in surgery and dentistry (referred to as "laughing gas"), in automotive racing, and in aerosol spray propellants. The aerosol spray propellants that typically use nitrous oxide are whipped cream canisters and cooking sprays. Unfortunately, these over-the-counter household items are a source of nitrous oxide that can be used for recreational use. The most popular is the use of industrial-grade canisters having the slang term "whippets." The nitrous oxide can be extracted by pushing the nozzle down slightly to the side and catching the released gas with a balloon. The contents of the balloon can then be directly inhaled, giving an instant feeling of euphoria. This is not a benign means to achieve a euphoric state but can cause severe nitrous oxide-induced B12 deficiency, which is presented in this case report.

摘要

一氧化二氮是一种在室温下无味、无色且有甜味的气体。一氧化二氮有多种用途,包括在外科手术和牙科(被称为“笑气”)、汽车赛车以及气溶胶喷雾推进剂中。通常使用一氧化二氮的气溶胶喷雾推进剂有生奶油罐和烹饪喷雾。不幸的是,这些非处方家居用品是一氧化二氮的一个来源,可被用于娱乐用途。最常见的是使用有俚语称呼“ippets”的工业级罐子。通过将喷嘴稍微向一侧下压并用气球接住释放出的气体,就可以提取出一氧化二氮。然后气球中的物质可直接吸入,会立刻产生欣快感。这并非一种达到欣快状态的良性方式,而是会导致严重的一氧化二氮诱发的维生素B12缺乏,本病例报告对此进行了阐述。

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