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一例因滥用冰毒导致纵隔气肿、腹膜后气肿和皮下气肿的罕见病例。

A Rare Case of Pneumomediastinum, Pneumoretroperitoneum and Subcutaneous Emphysema Due to Crystal Methamphetamine Abuse.

作者信息

Abdulmajeed Abdulmajeed K, Almehrzi Mansour O, Al-Bazzaz Saba A, Khalid Farah A, Fathi Sherif A, Hefny Ashraf F

机构信息

Department of Surgery, Shaikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.

Department of Histopathology, Al Borg Laboratories, Abu Dhabi, United Arab Emirates.

出版信息

Eur J Case Rep Intern Med. 2024 Dec 9;11(12):005058. doi: 10.12890/2024_005058. eCollection 2024.

Abstract

BACKGROUND

Crystal methamphetamine abuse is a growing concern due to its significant adverse effects on various organ systems.

CASE DESCRIPTION

This report presents a rare case of pneumomediastinum, pneumoretroperitoneum and subcutaneous emphysema resulting from crystal methamphetamine abuse. The exact mechanism linking methamphetamine abuse to pneumomediastinum remains ambiguous. Pneumomediastinum is uncommon with drug abuse, especially if it is smoked and the subject coughs against a closed glottis; however, it is rare to cause such severe presentation.

CONCLUSIONS

This report discusses the toxic effects of crystal methamphetamine on the respiratory system. It emphasises the importance of increased awareness among clinicians regarding these complications to facilitate timely intervention and prevent life-threatening outcomes.

LEARNING POINTS

Pneumomediastinum, pneumoretroperitoneum and subcutaneous emphysema is a rare complication of crystal methamphetamine (ice) abuse.There is a need to increase awareness among clinicians regarding the potential severe pulmonary complications associated with methamphetamine abuse.

摘要

背景

由于冰毒对各个器官系统有重大不良影响,其滥用问题日益受到关注。

病例描述

本报告介绍了一例因滥用冰毒导致纵隔气肿、腹膜后气肿和皮下气肿的罕见病例。冰毒滥用与纵隔气肿之间的确切机制仍不明确。药物滥用导致纵隔气肿并不常见,尤其是吸食且患者屏气咳嗽时;然而,导致如此严重表现的情况很少见。

结论

本报告讨论了冰毒对呼吸系统的毒性作用。强调临床医生提高对这些并发症认识的重要性,以便及时干预并预防危及生命的后果。

学习要点

纵隔气肿、腹膜后气肿和皮下气肿是冰毒(甲基苯丙胺)滥用的罕见并发症。有必要提高临床医生对与甲基苯丙胺滥用相关潜在严重肺部并发症的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c2/11716305/df5dd35110f9/5058_Fig1.jpg

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