AlRabiah Abdulaziz A, AlShamrani Abdulmalik M, AlMass Afnan A
Department of Emergency Medicine, King Saud University, Riyadh, Saudi Arabia.
Almaarefa University, Riyadh, Saudi Arabia.
Case Rep Emerg Med. 2019 Aug 22;2019:2461346. doi: 10.1155/2019/2461346. eCollection 2019.
An 18-year-old male smoker inhaled butane gas out of a pocket lighter with his friend for the purpose of changing his voice. He suddenly collapsed and lost his consciousness. Upon arrival to the Emergency Department, he was found pulseless with a rhythm of ventricular fibrillation. Cardiopulmonary resuscitation (CPR) was initiated according to the advanced cardiac life support (ACLS) protocol for three cycles until return of spontaneous circulation archived. After extubation, the patient was ataxic and had significant memory loss and severe confusion. Days later he improved and was discharged with walking aid for his ataxia and a plan to followup with the neurology team for magnetic resonance imaging (MRI) of the brain and electroencephalogram (EEG) as an outpatient.
一名18岁男性吸烟者与朋友为改变嗓音从打火机中吸入丁烷气。他突然晕倒并失去意识。到达急诊科时，发现他脉搏消失，心律为室颤。按照高级心脏生命支持（ACLS）方案进行了三个周期的心肺复苏（CPR），直至恢复自主循环。拔管后，患者共济失调，有明显记忆丧失和严重意识模糊。数天后他有所好转并出院，因共济失调需借助助行器行走，且计划作为门诊患者接受神经科团队的脑部磁共振成像（MRI）和脑电图（EEG）检查随访。
