UNASSIGNED: A 36-year-old man opium addict visited the emergency department with epigastric pain for three days. He swallowed nearly 90 packets of opium for smuggling purposes four days earlier. He self-administered laxatives. In contrast, many times vomiting, he defecated only four packets and vomited one packet. The abdominal X-rays showed some amounts of fluid-air levels and multiple cylindrical opacities with the double-condom sign, corresponding to the distended stomach. Due to the worsening of his abdominal symptoms, he underwent an urgent laparotomy and 84 packets (4-6 cm in size and 8-10 g/ packet of opium) with a total weight of 870 g. They were wrapped in some layers of plastic and tied at the ends. He was discharged in stable condition.
UNASSIGNED: A large number of ingested drug packets can induce gastrointestinal obstruction.
■一名36岁的鸦片成瘾者因上腹疼痛而到急诊科就诊三天。四天前,他为走私目的吞下了近90包鸦片。他自己服用泻药。相比之下,多次呕吐,他只大便了四包,吐了一包。腹部X光片显示出一定量的液体空气水平和多个带有双避孕套标志的圆柱形混浊,对应于膨胀的胃。由于他的腹部症状恶化,他接受了紧急剖腹手术和84包(4-6厘米大小和8-10克/包鸦片),总重量为870克。他们被包裹在一些塑料层,并绑在末端。他病情稳定出院。
■大量摄入的药物包可诱发胃肠道梗阻。