同伴压力 = 爆炸性后果：一例因受激而摄入环三亚甲基三硝胺（C - 4）炸药中毒的病例报告
Peer Pressure = Explosive Consequences: A Case Report of Toxic Ingestion of Cyclonite (C-4) Explosive on a Dare.
作者信息
Whitesides Joshua D, Turner Major Nathaniel, Watts Susan, Watkins Sarah A
机构信息
Texas Tech University Health Sciences Center El Paso, Department of Emergency Medicine, El Paso, Texas.
William Beaumont Army Medical Center, Department of Emergency Medicine, El Paso, Texas.
出版信息
Clin Pract Cases Emerg Med. 2021 Feb;5(1):43-46. doi: 10.5811/cpcem.2020.10.49241.
INTRODUCTION
We present a case of intentional ingestion of a piece of plastic explosive in a military patient that resulted in tonic-clonic seizure and gastrointestinal illness.
CASE REPORT
Although uncommon, such ingestions have been reported in military journals since the Vietnam War. Access to plastic explosives is generally limited to military personnel, and non-military medical providers may not be familiar with treatment of acute intoxication.
CONCLUSION
It is imperative to refresh awareness and provide education to heighten suspicion and broaden differential diagnosis for patients presenting with new onset syncope or seizure, particularly in the military population.
引言
我们报告一例军事人员故意摄入一块塑料炸药的病例，该病例导致了强直阵挛性癫痫发作和胃肠道疾病。
病例报告
尽管此类摄入情况并不常见，但自越南战争以来，军事期刊上已有相关报道。接触塑料炸药通常仅限于军事人员，非军事医疗人员可能不熟悉急性中毒的治疗方法。
结论
对于出现新发晕厥或癫痫发作的患者，尤其是军事人员，必须重新提高认识并开展教育，以增强怀疑意识并拓宽鉴别诊断范围。
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