Sharff J A
Ann Emerg Med. 1984 Dec;13(12):1145-7. doi: 10.1016/s0196-0644(84)80340-6.
The use of illicit cocaine continues to grow. This report is a documented case of renal infarction from intravenous cocaine use. The authors postulate that increased adrenergic stimulation from the intravenous cocaine, in association with an existing arterial thrombus, led to end organ infarction. This resulted in transient hypertension, but no long-term morbidity. The implications of this report extend to all patients with underlying arterial disease who use cocaine illicitly. Physicians and health professionals should be aware of this danger from intravenous cocaine usage.
非法可卡因的使用持续增加。本报告是一例因静脉注射可卡因导致肾梗死的记录病例。作者推测,静脉注射可卡因导致的肾上腺素能刺激增加,与现有的动脉血栓相关,导致终末器官梗死。这导致了短暂性高血压,但没有长期发病情况。本报告的影响扩展到所有非法使用可卡因的潜在动脉疾病患者。医生和健康专业人员应意识到静脉注射可卡因带来的这种危险。