Chang R A, Rossi N F
Department of Internal Medicine, Wayne State University School of Medicine, Detroit, MI 48201, USA.
Chest. 1995 Dec;108(6):1758-62. doi: 10.1378/chest.108.6.1758.
Acute aortic dissection has been reported with the use of cocaine. We report a case of intermittent cocaine use spanning nearly 5 years and leading to recurrent dissection and extension of the false lumen. The patient repeatedly declined surgical correction. Management involved aggressive pharmacologic blood pressure control, close monitoring, and encouragement to enter drug rehabilitation.
已有使用可卡因导致急性主动脉夹层的报道。我们报告了一例间歇性使用可卡因近5年并导致反复夹层形成及假腔扩大的病例。该患者多次拒绝手术矫正。治疗措施包括积极的药物控制血压、密切监测以及鼓励其接受戒毒康复治疗。
