Mishra Deebya Raj, Bhatta Narendra, Bista Bidesh, Koirala Puru, Ghimire Ramhari
Division of Pulmonary, Critical Care & Sleep Medicine, Department of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2018 Mar-Apr;56(210):621-624.
Solvent abuse, as inhalant specially, in the form of low cost adhesives like dendrite is common in low income countries among children and the teens. This habit is often a stepping stone to harder drugs. The neurological and neuropsychological effects of solvent abuse are well explored. But the respiratory effects are often overlooked. In this report, we present a case of a 19 year old gentleman, with regular history of sniffing of commercial "glue" compounds. This patient presented with right sided chest pain and chest x-ray showed a right sided pneumothorax. The pulmonary barotrauma, possibly due to increased intra-alveolar pressure, during the sniffing process can lead to alveolar rupture and in turn, pneumothorax. In the absence of other risk factors for Pneumothorax, the link between inhalant abuse and respiratory complications has to be explored in patients with history of such abuse. Keywords: inhalant abuse; pneumothorax; solvent.
溶剂滥用,特别是吸入剂,以低成本粘合剂如树枝状晶体的形式存在,在低收入国家的儿童和青少年中很常见。这种习惯往往是走向更难戒除毒品的垫脚石。溶剂滥用对神经和神经心理的影响已得到充分研究。但对呼吸的影响常常被忽视。在本报告中,我们介绍了一名19岁男性病例,他有定期吸食商业“胶水”化合物的历史。该患者出现右侧胸痛,胸部X光显示右侧气胸。在吸食过程中,肺部气压伤可能由于肺泡内压力增加导致肺泡破裂,进而引起气胸。在没有其他气胸危险因素的情况下,对于有此类滥用史的患者,必须探究吸入剂滥用与呼吸并发症之间的联系。关键词:吸入剂滥用;气胸;溶剂