Ohwada Akihiko, Kajiyama Yuichiro, Hirashima Naoko, Miyaji Atsuko, Suzuki Masaru
Department of Respiratory Medicine, Tokyo Metropolitan Koto Geriatric Medical Centre, Tokyo, Japan.
Respirology. 2004 Nov;9(4):564-7. doi: 10.1111/j.1440-1843.2004.00598.x.
A 78-year-old man suffered from refractory aspiration pneumonia as a result of a minor medullary stroke. The only neurological symptom observed in this patient was difficulty in swallowing. He was managed with i.v. hyperalimentation with termination of oral intake, including water. However, he still experienced several episodes of aspiration pneumonia. As he was considered to have a bacterial infection because of silent aspiration of colonized oropharyngeal material, inhalation of tobramycin was introduced and successful control of airway infection was attained.
一名78岁男性因轻微延髓中风而患有难治性吸入性肺炎。该患者唯一观察到的神经症状是吞咽困难。对其采取的治疗措施是停止经口摄入（包括水），通过静脉高营养进行管理。然而，他仍多次发生吸入性肺炎。由于口咽部定植菌的隐匿性吸入被认为存在细菌感染，遂采用吸入妥布霉素治疗，成功控制了气道感染。
