可卡因相关的皮下气肿、脊髓积气和纵隔气肿：一种罕见的临床发现。
Cocaine-related subcutaneous emphysema, pneumorrhachis and pneumomediastinum: a rare clinical finding.
作者信息
Kanu Obiajulu, Teleb Mohamed, Agrawal Harsh, Cashin Laura B
机构信息
Department of Cardiology, Texas Tech University Health Sciences Center Foster, School of Medicine, El Paso, Texas, USA.
出版信息
BMJ Case Rep. 2017 Aug 7;2017:bcr-2017-219851. doi: 10.1136/bcr-2017-219851.
Abstract
A young man presented with several days of dyspnoea and delirium due to cocaine use which was confirmed by urine drug screening. Imaging studies confirmed the diagnosis of subcutaneous emphysema, pneumorrhachis and pneumomediastinum. He was managed successfully with conservative therapy.Although a rare clinical finding, cocaine-related pneumomediastinum, subcutaneous emphysema and pneumorrhachis should be recognised early on presentation. This will certainly help to effectively direct the use of healthcare resources and avoid subjecting the patient to unnecessary investigations.
摘要
一名年轻男子因使用可卡因出现数天的呼吸困难和谵妄，尿液药物筛查证实了这一点。影像学检查确诊为皮下气肿、脊髓积气和纵隔气肿。他通过保守治疗成功治愈。尽管可卡因相关的纵隔气肿、皮下气肿和脊髓积气是罕见的临床发现，但在出现症状时应尽早识别。这肯定有助于有效指导医疗资源的使用，并避免让患者接受不必要的检查。
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