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一例继发于大麻使用障碍的气胸病例。

A Case of Pneumothorax Secondary to Marijuana Use Disorder.

作者信息

Jain Ashish, Ashiq Amir, Ahmed Rabia, Rane Rahul Prakash, Hussain Khandakar M

机构信息

Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, USA.

Internal Medicine, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, PAK.

出版信息

Cureus. 2022 Jul 7;14(7):e26634. doi: 10.7759/cureus.26634. eCollection 2022 Jul.

Abstract

In recent decades, the general tendency has switched from the use of tobacco products to the inhalation of marijuana with or without the addition of tobacco. The majority of existing research on marijuana use focuses on its euphoric effects. Pneumothorax, pneumomediastinum, and subcutaneous emphysema are infrequently described in the medical literature in association with cannabis use. It is a diagnostic and therapeutic challenge because of its infrequency of occurrence. We see a huge diversity of multisystem involvement linked with marijuana smoking, and physicians should be aware of this uncommon clinical presentation, which might be observed more often because of the recent upsurge in its consumption. We describe a case of a 20-year-old male with a chronic history of marijuana use disorder who was found to have non-tension type pneumothorax, pneumomediastinum, and subcutaneous emphysema on chest imaging. The patient was managed conservatively and did not require any surgical intervention.

摘要

近几十年来,普遍趋势已从使用烟草制品转向吸食大麻,无论是否添加烟草。现有的关于大麻使用的大多数研究都集中在其欣快效应上。气胸、纵隔气肿和皮下气肿在医学文献中很少被描述为与大麻使用有关。由于其发生率低,这是一个诊断和治疗上的挑战。我们看到与吸食大麻相关的多系统受累情况多种多样,医生应该意识到这种不常见的临床表现,由于最近大麻消费量的激增,这种情况可能会更频繁地出现。我们描述了一例有大麻使用障碍慢性病史的20岁男性病例,其胸部影像学检查发现有非张力性气胸、纵隔气肿和皮下气肿。该患者接受了保守治疗,无需任何手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/201b/9356663/027fc4cd7545/cureus-0014-00000026634-i01.jpg

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