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1 Pulmonary Disease Branch, Medical Service, Naval Hospital, St. Albans, New York
Two patients developed respiratory insufficiency following episodes of heroin overdose complicated by aspiration. In both instances pulmonary function testing demonstrated marked obstructive airway disease and arterial hypoxemia. Bronchograms performed on both of these patients demonstrated bronchiectasis. The persistence of respiratory insufficiency into the recovery phase of heroin pulmonary edema may indicate the onset of chronic pulmonary disease. Pathology of the bronchial tree should be looked for in evaluating this syndrome.
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