可卡因包裹摄入。诊断、管理及自然病史。

Cocaine-packet ingestion. Diagnosis, management, and natural history.

作者信息

Caruana D S, Weinbach B, Goerg D, Gardner L B

出版信息

Ann Intern Med. 1984 Jan;100(1):73-4. doi: 10.7326/0003-4819-100-1-73.

Abstract

We treated 50 patients who ingested packets of cocaine and developed a protocol for conservative medical management. Of the 50 patients, only 3 required emergency surgery. Surgery was precipitated by signs and symptoms of bowel obstruction in all cases. Six patients chose elective surgery. The rest of the patients passed the packets without signs of cocaine toxicity or other complications. This finding is in contrast to that of previous reports. Asymptomatic patients who have ingested packets of cocaine can be safely observed and managed conservatively.

摘要

我们治疗了50名摄入可卡因包装并制定了保守药物治疗方案的患者。在这50名患者中，只有3人需要急诊手术。所有病例中，肠梗阻的体征和症状促使了手术。6名患者选择了择期手术。其余患者排出了可卡因包装，没有出现可卡因中毒迹象或其他并发症。这一发现与之前的报告不同。摄入可卡因包装的无症状患者可以安全地进行观察和保守治疗。