精心挑选的无症状身体填充物的内镜管理
Muhammad Akbar Baig1, Joshua Nogar2
1Emergency Medicine, NorthShore University HealthSystem, Evanston, Illinois, USA dr_akbar2007@hotmail.com.
BMJ case reports
|January 4, 2025
概括
在尸体填充器中检索药物袋的内镜检索是争论的. 这些病例显示通过上部胃肠内镜成功检索,但强调需要先进的技能和指导方针的重新考虑.
科学领域:
- 胃肠病学 胃肠病学
- 毒理学 毒理学 毒理学
- 紧急医疗 紧急医疗
背景情况:
- 目前欧洲和美国胃肠内镜学会的指导方针一般不鼓励在体内填充剂中内镜检索药物袋.
- 新出现的证据表明,成功的内镜检索是可能的,没有致命的结果,挑战现有的建议.
研究的目的:
- 为了呈现两个不同的案例,尸体填充者摄入了装满毒品的袋子.
- 为了说明内镜和手术干预的不同结果.
- 促使对目前关于内药物袋内镜检索的指导方针进行重新考虑.
主要方法:
- 案例报告1:一名30岁的男性摄入了一袋3,4-甲基二氧化甲胺 (MDMA),通过上部胃肠道 (UGI) 内镜识别和检索.
- 案例报告2:一名50岁的男性摄入了含有MDMA,阿尔普拉佐拉姆和洛拉泽帕姆的气球,由于内镜检索的挑战,需要进行腹腔镜切除.
主要成果:
- 在第一个案例中,成功地通过内镜检索MDMA袋.
- 在第二个涉及多种物质的病例中,由于技术上的困难,需要通过腹腔镜进行切除.
- 这两名患者均无症状,并经历了不同的干预结果.
结论:
- 这些案例表明,早期UGI内镜可能是摄入药物袋的可行的干预措施.
- 熟练掌握UGI内镜,可能需要专门培训,对于成功的结果至关重要.
- 目前的指导方针可能需要根据不断变化的证据和临床经验重新评估.
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