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探索罕见病例：静脉药物滥用患者体内留存断裂针头的不寻常实例。

Exploring the uncommon: Unusual instance of retained fractured needles in a patient of intravenous drugs abuse.

作者信息

Phaterpekar Tejas, Ahmad Muhammad Israr, Ouellete Hugue, Munk Peter, Mallinson Paul, Nicolaou Savvas, Sheikh Adnan

机构信息

Faculty of Medicine, The University of British Columbia, Vancouver Campus |Musqueam, Squamish & Tsleil-Waututh Traditional Territory], Vancouver, BC, Canada.

Radiology Department, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Radiol Case Rep. 2024 Feb 5;19(4):1619-1623. doi: 10.1016/j.radcr.2024.01.016. eCollection 2024 Apr.

DOI:10.1016/j.radcr.2024.01.016
PMID:38333902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10851168/
Abstract

Retained needle fragments commonly serve as sources of recurrent infections with a potential to embolize to the heart and lungs and can lead to life-threatening consequences. Here, we report a case of a 46-year-old male with a history of intravenous drug user and chronic forearm wounds, presenting with sepsis. Several retained needles are identified on CT scan, several days postadmission. This case highlights the importance of timely assessment of infectious sources in patients with history of intravenous drug abuse.

摘要

残留的针头碎片通常是反复感染的源头，有可能栓塞至心脏和肺部，并可能导致危及生命的后果。在此，我们报告一例46岁男性病例，该患者有静脉吸毒史和慢性前臂伤口，现出现败血症。入院几天后的CT扫描发现了几根残留的针头。该病例凸显了及时评估有静脉药物滥用史患者感染源的重要性。

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Exploring the uncommon: Unusual instance of retained fractured needles in a patient of intravenous drugs abuse.探索罕见病例：静脉药物滥用患者体内留存断裂针头的不寻常实例。
Radiol Case Rep. 2024 Feb 5;19(4):1619-1623. doi: 10.1016/j.radcr.2024.01.016. eCollection 2024 Apr.
2
Corrigendum to "Exploring the uncommon: Unusual instance of retained fractured needles in a patient of intravenous drugs abuse" [Radiology Case Reports 19 (2024) 1619-1623].《探索罕见病例：静脉药物滥用患者体内残留断裂针头的不寻常实例》勘误 [《放射病例报告》19 (2024) 1619 - 1623]
Radiol Case Rep. 2024 Mar 21;19(6):2575. doi: 10.1016/j.radcr.2024.02.096. eCollection 2024 Jun.
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Right ventricular needle embolus in an injecting drug user: the need for early removal.注射吸毒者右心室针栓子：早期取出的必要性。
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Multiple Retained Needles in the Neck of a Drug User: A Case Report.
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Case report: surgical removal of a migrated needle in right ventricle of an intravenous drug user.病例报告：静脉药物使用者右心室移行针的外科取出。
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Images in emergency medicine. Chronic neck pain from a retained needle as a result of intravenous drug use. Acute neck abscess and cellulitis with retained needle fragments as a result of intravenous drug use.急诊医学影像。静脉吸毒导致的残留针头引起的慢性颈部疼痛。静脉吸毒导致的伴有残留针头碎片的急性颈部脓肿和蜂窝织炎。
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Retrospective case-control analysis of the infectious complications of retained broken needles in people who inject drugs.对注射吸毒者中残留断针所致感染并发症的回顾性病例对照分析。
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本文引用的文献

1
Radiological features and management of retained needles.遗留针的放射学特征和处理
Br J Radiol. 2020 Oct 1;93(1114):20200316. doi: 10.1259/bjr.20200316. Epub 2020 Jun 18.
2
Pins and needles in the groin: an incidental finding of retained needle fragments in an intravenous drug user.腹股沟区的针刺感：静脉吸毒者体内意外发现残留针头碎片
BMJ Case Rep. 2019 Feb 6;12(2):e226220. doi: 10.1136/bcr-2018-226220.
3
Case report: surgical removal of a migrated needle in right ventricle of an intravenous drug user.病例报告：静脉药物使用者右心室移行针的外科取出。
Subst Abuse Treat Prev Policy. 2017 Dec 8;12(1):51. doi: 10.1186/s13011-017-0134-1.
4
Point-of-Care Ultrasound to Locate Retained Intravenous Drug Needle in the Femoral Artery.床旁超声定位股动脉内残留的静脉注射针头
West J Emerg Med. 2016 Nov;17(6):817-818. doi: 10.5811/westjem.2016.8.31074. Epub 2016 Sep 12.
5
Imaging findings of complications affecting the upper extremity in intravenous drug users: featured cases.静脉吸毒者上肢并发症的影像学表现：典型病例
Emerg Radiol. 2008 Jul;15(4):227-39. doi: 10.1007/s10140-008-0709-2. Epub 2008 Feb 26.
6
Intravenous drug users and broken needles--a hidden risk?静脉注射吸毒者与破损针头——一种潜在风险？
Addiction. 2003 Aug;98(8):1163-6. doi: 10.1046/j.1360-0443.2003.00462.x.
7
Right ventricular needle embolus in an injecting drug user: the need for early removal.注射吸毒者右心室针栓子：早期取出的必要性。
Emerg Med J. 2001 Nov;18(6):500-1. doi: 10.1136/emj.18.6.500.
8
Embolization of illicit needle fragments.
J Emerg Med. 1993 Jul-Aug;11(4):403-8. doi: 10.1016/0736-4679(93)90242-y.
9
Needle emboli to lung following intravenous drug abuse.静脉药物滥用后肺部出现针栓子。
J Emerg Med. 1986;4(5):391-6. doi: 10.1016/0736-4679(86)90217-9.