Raksakietisak Manee
Department ofAnesthesiology, Siriraj Hospital Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 2009 Jun;92(6):869-71.
Two patients (one underwent balloon enteroscopy and the other had endoscopic retrograde cholangiopancreatoscopy, ERCP) developed desaturation in the post anesthetic care unit (PACU) despite high oxygen supplement. Aspiration pneumonitis was suspected The chest x-rays taken in PACU showed lung infiltration in both cases and arterial blood gases revealed hypoxemia. During anesthesia, there were brief episodes of choking, regurgitation, and desaturation, which were improved by giving high FiO2 and positive pressure ventilation. The diagnosis and management of aspiration pneumonitis was discussed
两名患者（一名接受了气囊小肠镜检查，另一名接受了内镜逆行胰胆管造影术，即ERCP）在麻醉后护理单元（PACU）中尽管给予了高流量氧气补充，仍出现了血氧饱和度下降。怀疑发生了误吸性肺炎。在PACU拍摄的胸部X光片显示两例均有肺部浸润，动脉血气分析显示存在低氧血症。麻醉期间，有短暂的呛咳、反流和血氧饱和度下降发作，通过给予高浓度氧和正压通气得到改善。对误吸性肺炎的诊断和处理进行了讨论
