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一名年轻男性服用摇头丸后出现双侧气胸、手术性气肿和纵隔气肿。

Bilateral pneumothorax, surgical emphysema and pneumomediastinum in a young male patient following MDMA intake.

作者信息

Obiechina Nonyelum Evangeline, Jayakumar Ahrane, Khan Yusra, Bass James

机构信息

Elderly Medicine, Burton Hospitals NHS Foundation Trust, Burton on Trent, UK.

Burton Hospitals NHS Foundation Trust, Burton on Trent, UK.

出版信息

BMJ Case Rep. 2018 Apr 7;2018:bcr-2017-223103. doi: 10.1136/bcr-2017-223103.

Abstract

MDMA (3,4-methylenedioxymethamphetamine) or 'Ecstasy' is an illicit drug frequently used by young people at parties and 'raves'. It is readily available in spite of the fact that it is illegal. It is perceived by a lot of young people as being 'harmless', but there have been a few high-profile deaths associated with its use. Known side effects of MDMA include hyperthermia, rhabdomyolysis, coagulopathy and cardiac arrhythmias. Rarer side effects include surgical emphysema and pneumomediastinum, which have been better described with cocaine abuse. We present a case of bilateral pneumothorax, surgical emphysema and pneumomediastinum in a young man after taking ecstasy.

摘要

摇头丸(3,4-亚甲基二氧甲基苯丙胺),即“迷魂药”,是年轻人在派对和“锐舞派对”上经常使用的一种非法药物。尽管它是非法的,但却很容易获得。许多年轻人认为它“无害”,但已经有一些与之使用相关的备受瞩目的死亡案例。摇头丸已知 的副作用包括体温过高、横纹肌溶解、凝血病和心律失常。较罕见的副作用包括手术性气肿和纵隔积气,这些在可卡因滥用中已有更详尽的描述。我们报告一例年轻男性在服用摇头丸后出现双侧气胸、手术性气肿和纵隔积气的病例。

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本文引用的文献

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Spontaneous pneumomediastinum, pneumothorax and ecstasy abuse.自发性纵隔气肿、气胸与摇头丸滥用
Emerg Med (Fremantle). 2001 Mar;13(1):121-3. doi: 10.1046/j.1442-2026.2001.00190.x.
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