可卡因滥用已成为北美重大社会问题,成瘾者可发生多种并发症,作者报道一例可卡因滥用引起的内脏梗死,引以为戒。患者系27岁男性,每日服用可卡因,被警察拘留后即主诉腹痛和呕吐,3小时后送至急诊室,出现大量水泻,并有房颤。腹胀满,有压痛,伴代谢性酸中毒,转送至Wellesley医院,病人呈气急和低血压。尿测定可卡因呈阳性,腹部平片提示小肠膨胀,肝内门静脉有大量气体,拟诊为肠梗死进行手术,术中发现屈氏韧带以下1.5呎起至距回盲瓣1.5呎的小肠全部坏死,予以切除,肝脾色泽不佳,拟次日再期手术探查,惜由于病人的血流动力学和呼吸不稳定未能按计划第二次手术,病人于术后第7天 Cocaine abuse has become a major social problem in North America. Addicts may experience multiple complications. The authors report a case of visceral infarction caused by cocaine abuse. The patient, a 27-year-old man who took cocaine daily, complained of abdominal pain and vomiting after being detained by the police. Three hours later she was taken to the emergency room for massive watery diarrhea and atrial fibrillation. Bloating, tenderness, and metabolic acidosis were forwarded to Wellesley Hospital where the patient developed shortness of breath and low blood pressure. Urinary determination of positive cocaine, abdomen flat film prompted small intestine expansion, a large number of gas in the portal vein, diagnosed as intestinal infarction surgery, intraoperative findings within 1.5 feet of the ligaments ligament below 1.5 feet from the ileocecal valve of the small intestine necrosis, To be removed, the liver and spleen color is poor, the next day to be surgical exploration, but because of the patient’s hemodynamics and respiratory instability failed to plan the second surgery, the patient after 7 days