Thoracic aortic dissection secondary to crack cocaine ingestion

被引:24
作者
Perron, AD
Gibbs, M
机构
[1] Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC
[2] Department of Emergency Medicine, Carolinas Medical Center, Box 32861, Charlotte
关键词
aortic dissection; crack; cocaine;
D O I
10.1016/S0735-6757(97)90196-0
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Thoracic aortic dissection is a rare but recognized complication of crack cocaine inhalation. It is thought to be triggered in some cases by transient severe elevations in blood pressure, causing a shear effect on the thoracic aorta. Unrecognized, it can result in high morbidity and mortality. A case of an unusual presentation of thoracic aortic dissection following crack cocaine ingestion is reported. (Am J Emerg Med 1997;15: 507-509. Copyright (C) 1997 by W.B. Saunders Company).
引用
收藏
页码:507 / 509
页数:3
相关论文
共 19 条
[1]   CHRONIC TYPE-A AORTIC DISSECTION - AN UNUSUAL COMPLICATION OF COCAINE INHALATION [J].
ADKINS, MS ;
GAINES, WE ;
ANDERSON, WA ;
LAUB, GW ;
FERNANDEZ, J ;
MCGRATH, LB .
ANNALS OF THORACIC SURGERY, 1993, 56 (04) :977-979
[2]  
Alspaugh J A, 1995, J Tenn Med Assoc, V88, P271
[3]  
BOURLAND MD, 1992, EMERGENCY MED CONCEP, P1384
[4]  
CHANG RA, 1995, CHEST, V108, P1458
[5]  
COHLE SD, 1992, ARCH PATHOL LAB MED, V116, P1239
[6]  
EAGLE KA, 1989, CURR PROB CARDIOLOGY, V5, P225
[7]   AORTIC DISSECTION AND COCAINE ABUSE [J].
EDWARDS, J ;
RUBIN, RN .
ANNALS OF INTERNAL MEDICINE, 1987, 107 (05) :779-780
[8]  
Fisher Anne, 1992, Journal of Emergency Medicine, V10, P723, DOI 10.1016/0736-4679(92)90532-X
[9]  
FREUD S, 1974, COCAINE PAPERS, P49
[10]   COCAINE-INDUCED ACUTE AORTIC DISSECTION [J].
GADALETA, D ;
HALL, MH ;
NELSON, RL .
CHEST, 1989, 96 (05) :1203-1206