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可卡因走私者的影像学评估。

Radiographic evaluation of the cocaine smuggler.

作者信息

Beerman R, Nunez D, Wetli C V

出版信息

Gastrointest Radiol. 1986;11(4):351-4. doi: 10.1007/BF02035108.

DOI:10.1007/BF02035108
PMID:3770345
Abstract

A retrospective analysis of the plain abdominal films of 53 "body packer" drug smugglers was performed to ascertain the importance of radiographic studies in the diagnosis and management of these patients. Eighty-nine percent had studies diagnostic for foreign body ingestion. Multiple, well-defined, homogeneous oval or oblong densities, especially if surrounded by a crescent of air (double-condom sign), are key findings. If these densities were found in the proximal ascending colon or upper gastrointestinal tract, the diagnosis was almost assured. Six percent of patients exhibited complications suggested on serial radiographs, proving the necessity for follow-up studies until complete expulsion or removal of the foreign body. Radiologic evaluation is essential in the diagnosis and management of the cocaine smuggler.

摘要

对53名“人体藏毒者”毒品走私犯的腹部平片进行了回顾性分析,以确定影像学检查在这些患者的诊断和管理中的重要性。89%的检查结果可诊断为异物摄入。多个边界清晰、均匀的椭圆形或长方形密度影,特别是如果被一圈气体包围(双避孕套征),是关键发现。如果这些密度影出现在升结肠近端或上消化道,则几乎可以确诊。6%的患者在系列X线片上显示有并发症,这证明有必要进行随访检查,直到异物完全排出或取出。放射学评估在可卡因走私者的诊断和管理中至关重要。

相似文献

1
Radiographic evaluation of the cocaine smuggler.可卡因走私者的影像学评估。
Gastrointest Radiol. 1986;11(4):351-4. doi: 10.1007/BF02035108.
2
Narcotic smuggling and radiography of the gastrointestinal tract.麻醉品走私与胃肠道造影
Acta Radiol Diagn (Stockh). 1986 Mar-Apr;27(2):213-6. doi: 10.1177/028418518602700215.
3
[The gastrointestinal concealment of illegal drugs].[非法药物的胃肠道隐匿性]
Rev Esp Enferm Dig. 1991 Mar;79(3):190-5.
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Cocaine-packet ingestion. Diagnosis, management, and natural history.可卡因包裹摄入。诊断、管理及自然病史。
Ann Intern Med. 1984 Jan;100(1):73-4. doi: 10.7326/0003-4819-100-1-73.
5
The body packer syndrome--cocaine smuggling in the gastro-intestinal tract.人体藏毒综合征——胃肠道可卡因走私
Klin Wochenschr. 1988 Nov 15;66(22):1116-20. doi: 10.1007/BF01727846.
6
[Roentgen diagnosis of body packers--radiological and forensic considerations].体内藏毒者的X线诊断——放射学与法医学考量
Aktuelle Radiol. 1995 May;5(3):157-60.
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["Body packing" in Austria. Clinical and diagnostic aspects of gastrointestinal smuggling of intoxicating drugs based on 2 cases].奥地利的“人体藏毒”。基于2例病例的胃肠道偷运毒品的临床与诊断方面
Wien Klin Wochenschr. 1989 Mar 3;101(5):172-5.
8
[Intestinal drug smuggling: the cocaine "body-packer" syndrome].
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A cocaine body packer with normal abdominal plain radiograms. Value of drug detection in urine and contrast study of the bowel.一名腹部平片正常的可卡因人体藏毒者。尿液中药物检测及肠道造影检查的价值。
Am J Forensic Med Pathol. 1990 Jun;11(2):154-7. doi: 10.1097/00000433-199006000-00010.
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The gastrointestinal tract as a vehicle for drug smuggling.胃肠道作为毒品走私的一种载体。
Gastrointest Radiol. 1981;6(4):319-23. doi: 10.1007/BF01890277.

引用本文的文献

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RADIOLOGICAL QUIZ.放射学测验。
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2
The role of radiology in diagnosis and management of drug mules: an update with new challenges and new diagnostic tools.放射学在毒品携带者诊断与管理中的作用:新挑战与新诊断工具的最新进展
Br J Radiol. 2016;89(1060):20150888. doi: 10.1259/bjr.20150888. Epub 2016 Jan 21.
3
Radiological and practical aspects of body packing.人体藏毒的影像学及实际问题。

本文引用的文献

1
The gastrointestinal tract as a vehicle for drug smuggling.胃肠道作为毒品走私的一种载体。
Gastrointest Radiol. 1981;6(4):319-23. doi: 10.1007/BF01890277.
2
The "body packer syndrome"-toxicity following ingestion of illicit drugs packaged for transportation.“人体包裹者综合征”——摄入用于运输的非法包装毒品后的中毒反应
J Forensic Sci. 1981 Jul;26(3):492-500.
3
The cocaine 'body packer' syndrome. Diagnosis and treatment.可卡因“人体携毒者”综合征。诊断与治疗。
Br J Radiol. 2014 Apr;87(1036):20130500. doi: 10.1259/bjr.20130500. Epub 2014 Feb 3.
4
Death by 'ice': fatal methamphetamine intoxication of a body packer case detected by postmortem computed tomography (PMCT) and validated by autopsy.“冰毒”致死:一例体内藏毒者因甲基苯丙胺中毒死亡,经尸检计算机断层扫描(PMCT)检测并经尸检证实
Forensic Sci Med Pathol. 2013 Mar;9(1):82-7. doi: 10.1007/s12024-012-9395-1. Epub 2013 Feb 13.
5
Body packing and its radiologic manifestations: a review article.人体藏毒及其放射学表现:一篇综述文章。
Iran J Radiol. 2011 Dec;8(4):205-10. doi: 10.5812/iranjradiol.4757. Epub 2011 Dec 25.
6
Gastrointestinal decontamination in the acutely poisoned patient.急性中毒患者的胃肠道去污处理
Int J Emerg Med. 2011 Oct 12;4:65. doi: 10.1186/1865-1380-4-65.
7
Surgical treatment in cocaine body packers and body pushers.可卡因体内藏毒者和运毒者的外科治疗
Int J Colorectal Dis. 2007 Dec;22(12):1531-5. doi: 10.1007/s00384-007-0324-9. Epub 2007 May 23.
8
[Emergent surgery for body packing - what happens to the drugs?].[体内藏毒者的急诊手术——毒品会怎样?]
Chirurg. 2004 Apr;75(4):436-41. doi: 10.1007/s00104-004-0841-9.
9
The inside dope: cocaine, condoms, and computed tomography.内幕消息:可卡因、避孕套与计算机断层扫描
Abdom Imaging. 1995 Jul-Aug;20(4):339-40. doi: 10.1007/BF00203367.
10
Medical risks of cocaine use.使用可卡因的医学风险。
West J Med. 1988 Apr;148(4):440-4.
JAMA. 1983 Sep 16;250(11):1417-20.
4
Cocaine-packet ingestion. Diagnosis, management, and natural history.可卡因包裹摄入。诊断、管理及自然病史。
Ann Intern Med. 1984 Jan;100(1):73-4. doi: 10.7326/0003-4819-100-1-73.
5
Case reports balloon obturation bowel obstruction: a hazard of drug smuggling.
AJR Am J Roentgenol. 1976 Dec;127(6):1033-4. doi: 10.2214/ajr.127.6.1033.
6
Narcotic smuggling: the double condom sign.麻醉品走私:双避孕套征
J Can Assoc Radiol. 1978 Jun;29(2):79-81.
7
Cocaine-codom ingestion. Surgical treatment.可卡因与可待因混合摄入。手术治疗。
JAMA. 1977 Sep 26;238(13):1391-2.