Tension pneumomediastinum from opioid inhalation.
Tension pneumomediastinum from opioid inhalation.
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DOI：
10.1016/j.ajem.2021.09.008
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Odish MF
中科院分区：
文献类型：
--
作者：
Nene RV;Hryniewicki AT;Roderick E;Chicotka S;Vazquez MH;Thistlewaite PA;Coffey C;Odish MF
纵隔气肿是一种罕见的物质使用并发症，可能是由于吸入药物后进行瓦尔萨尔瓦动作所致。先前没有记录纵隔气肿与阿片类药物使用之间的关联。一名 30 岁男性，近期有海洛因和芬太尼吸入史，因呼吸窘迫需要插管而被送往急诊科。他的病程因纵隔积气而变得复杂，随后出现了紧张生理学。他需要紧急手术减压，在前胸切开一个“气孔切口”。尽管纵隔气肿是多种物质使用的罕见并发症，但它可以发展为紧张生理学，需要及时诊断和治疗。
Pneumomediastinum is a rare complication of substance use, likely due to a Valsalva maneuver after drug inhalation. There are no previously documented associations between pneumomediastinum and opioid use. A 30-year-old man with a history of recent heroin and fentanyl inhalation presented to the emergency department in respiratory distress requiring intubation. His course was complicated by pneumomediastinum which subsequently developed tension physiology. He required emergent surgical decompression with a “blowhole incision” to his anterior chest. Although a rare complication of polysubstance use, pneumomediastinum can progress to tension physiology, requiring prompt diagnosis and management.