Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke · 2004
[Heroin-induced pulmonary oedema].
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Landsverk Svein Aslak, Granheim Karen, Kirkebøen Knut Arvid
Аннотация
BACKGROUND: Heroin-induced pulmonary oedema is an infrequent complication to a heroin overdose; the incidence in Norway is unknown.
MATERIAL AND METHODS: One case is presented and pathophysiology, diagnosis and treatment are discussed.
RESULTS: Pulmonary oedema caused by the use of heroin may develop immediately or usually up to 1-2 hours after exposure. The symptoms usually resolve with supportive treatment within 1 or 2 days. Some patients require mechanical ventilation. The pathophysiology includes a rapid capillary leakage of unknown aetiology.
INTERPRETATION: Heroin use is widespread in Norway, and users are found all over the country. There are important differences between cardiogenic and heroin-induced pulmonary oedema regarding pathophysiology and treatment.
MATERIAL AND METHODS: One case is presented and pathophysiology, diagnosis and treatment are discussed.
RESULTS: Pulmonary oedema caused by the use of heroin may develop immediately or usually up to 1-2 hours after exposure. The symptoms usually resolve with supportive treatment within 1 or 2 days. Some patients require mechanical ventilation. The pathophysiology includes a rapid capillary leakage of unknown aetiology.
INTERPRETATION: Heroin use is widespread in Norway, and users are found all over the country. There are important differences between cardiogenic and heroin-induced pulmonary oedema regarding pathophysiology and treatment.