頁籤選單縮合
題名 | 藥物濫用引起肺病急症之簡介=Common Pulmonary Emergencies Associated with Substance Abuse |
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作者 | 葉育雯; 高尚志; Yeh, Yu-wung; Kao, Shang-jyh; |
期刊 | 中華民國重症醫學雜誌 |
出版日期 | 20000100 |
卷期 | 2:1 2000.01[民89.01] |
頁次 | 頁72-76 |
分類號 | 415.35 |
語文 | chi |
關鍵詞 | 藥物濫用; 緊急處理; 肺部疾病; Substance-related disorder; Emergency treatment; Lung disease; |
中文摘要 | 由於臺灣社會逐漸西化,藥物濫用亦成為一愈來愈普遍的現象。藥物濫用可引起諸多病變,其中不乏肺部之急症。在處理肺部急症之時,最常遇見的問題以呼吸抑制及肺水腫為主,而肺水腫又可分為心因性及非心因性,兩者皆可由藥物濫用所引起。其他肺部方面的病變多半是因以吸入途徑用藥而產生。此類病症包括過敏性肺炎,呼吸道灼傷,鼻腔與口腔的潰瘍及壞死,支氣管痙攣,肺部出血,氣胸,以及縱膈腔氣胸。在這一類病患的處理上多以輔助性為主。最重要的處理往往是以戴面罩或是插管的方式予以呼吸輔助,直到藥物被代謝,並且肺部之呼吸功能恢復為止。 |
英文摘要 | As the Taiwanese society becomes more westernized, substance abuse becomes an increasingly prevalent problem. Among the various medical conditions which can be caused by substance abuse, pulmonary emergencies often play a prominent role in term of the management of these patients. The most common pulmonary emergencies encountered in abusers are respiratory depression and pulmonary edema, both cardiogenic and non-cardiogenic. Other pulmonary complaints often occur in patients who take in these substances of abuse through the respiratory tract such as via snorting or smoking. These include hypersensitivity pneumonitis, respiratory tract burns, nasal and oral pharyngeal ulcers and necrosis, bronchospasm, pulmonary hemorrhage, pneumothorax and pneumomediastinum. Management of these patients is often supportive. The mainstay of treatment is to provide ventilatory support via bag-valve-mask or endotracheal intubation with ventilator assistance until the effect of the substance passes and normal pulmonary function returns. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。