Brooke Army Medical Center, JBSA, Fort Sam Houston, TX.
Tripler Army Medical Center, Honolulu, HI.
Med J (Ft Sam Houst Tex). 2023 Apr-Jun(Per 23-4/5/6):5-7.
Several published case reports describe the intentional ingestion of cyclotrimethylenetrinitramine, more commonly referred to as Composite-4 (C4), by military personnel. This putty-like explosive material, used for breaching operations, can produce euphoric effects through polyisobutylene; however, the additional ingredient of Research Department Explosive (RDX), or "Cyclonite," can cause significant central nervous system disruption resulting in seizures. We report a unique case cluster of active-duty personnel with intentional C4 ingestion and wide-ranging symptoms, including seizures. Unit personnel discovered this cluster after progressive patient presentations. This report illustrates the spectrum of C4 ingestion effects, as well as the need for investigation to ensure prompt medical evaluation and management of those suspected of consumption.
已有数篇病例报告描述了军用人员故意摄入环三亚甲基三硝胺的情况，这种军用炸药通常被称为 C4。这种类似油灰的爆炸物通过聚异丁烯可以产生欣快的效果；然而，其额外的成分季戊四醇四硝酸酯（RDX）或“旋风炸药”，会导致严重的中枢神经系统紊乱，引发癫痫。我们报告了一组独特的现役军人故意摄入 C4 并出现广泛症状（包括癫痫）的病例集群。在患者逐渐出现症状后，部队人员发现了这一集群。本报告说明了摄入 C4 的影响范围，并强调了需要进行调查，以确保对疑似摄入者进行及时的医疗评估和管理。
