Unrecognized ''crack'' cocaine abuse in pregnancy

被引：7

作者：

Campbell, D ^{[1
]}

Parr, MJA ^{[1
]}

Shutt, LE ^{[1
]}

机构：

[1] FRENCHAY HOSP,DEPT ANAESTHESIA,BRISTOL BS16 1LE,AVON,ENGLAND

来源：

BRITISH JOURNAL OF ANAESTHESIA | 1996年 / 77卷 / 04期

关键词：

anaesthesia obstetric; complications; cocaine abuse; pregnancy;

D O I：

10.1093/bja/77.4.553

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We report a case of ''crack'' cocaine abuse in a pregnant patient associated with haematuria, proteinuria, haemolytic anaemia, renal impairment, thrombocytopenia and pulmonary oedema. The case illustrates the problems for clinicians where unrecognized cocaine abuse interferes with the diagnosis and management of a complicated pregnancy. In addition, we discuss the principles for the safe conduct of anaesthesia in the pregnant cocaine abuser.

引用

页码：553 / 555

页数：3

共 26 条

[1]

BAYSINGER CL, 1990, CURRENT OPINION ANES, V3, P418

[2]

BOYLAN J, 1993, ANESTH ANALG, V76, pS26

[3] COCAINE-ASSOCIATED THROMBOCYTOPENIA [J].

BURDAY, MJ ;

MARTIN, SE .

AMERICAN JOURNAL OF MEDICINE, 1991, 91 (06) :656-660

[4] PERIOPERATIVE CARE OF THE COCAINE-ABUSING PATIENT [J].

CHENG, D .

CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1994, 41 (10) :883-887

[5] COCAINE - THE NEWEST RISK FACTOR FOR CARDIOVASCULAR-DISEASE [J].

CREGLER, LL .

CLINICAL CARDIOLOGY, 1991, 14 (06) :449-456

[6] MATERNAL AND NEONATAL RESPONSES TO ALFENTANIL ADMINISTERED BEFORE INDUCTION OF GENERAL-ANESTHESIA FOR CESAREAN-SECTION [J].

DANN, WL ;

HUTCHINSON, A ;

CARTWRIGHT, DP .

BRITISH JOURNAL OF ANAESTHESIA, 1987, 59 (11) :1392-1396

[7] POTENTIATION OF COCAINE TOXICITY WITH CALCIUM-CHANNEL BLOCKERS [J].

DERLET, RW ;

ALBERTSON, TE .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1989, 7 (05) :464-468

[8]

FLEMING JA, 1990, ANESTHESIOLOGY, V73, P518

[9] THE USE OF LABETALOL IN THE MANAGEMENT OF COCAINE CRISIS [J].

GAY, GR ;

LOPER, KA .

ANNALS OF EMERGENCY MEDICINE, 1988, 17 (03) :282-283

[10] NIFEDIPINE PROTECTS THE HEART FROM THE ACUTE DELETERIOUS EFFECTS OF COCAINE IF ADMINISTERED BEFORE BUT NOT AFTER COCAINE [J].

HALE, SL ;

ALKER, KJ ;

REZKALLA, SH ;

EISENHAUER, AC ;

KLONER, RA .

CIRCULATION, 1991, 83 (04) :1437-1443

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