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[一例因误服铁丸导致严重支气管黏膜损伤的病例]

[A case of severe bronchial mucosal injury caused by iron pill aspiration].

作者信息

Takahashi Tomoko, Sato Ken, Suzaki Noriyuki, Goda Yoshinori, Takigawa Nagio

机构信息

Department of Internal Medicine, Yashima General Hospital.

出版信息

Nihon Kokyuki Gakkai Zasshi. 2010 Feb;48(2):123-7.

Abstract

An 84-year-old woman was referred to our hospital with fever and dyspnea. Her arterial oxygen partial pressure was 48.3 Torr. Chest computed tomography (CT) showed a foreign body incarcerated in the right truncus intermedius. Bronchoscopy revealed the incarceration of a dark red foreign body with an elliptical shape in the right truncus intermedius, and bronchoscopic removal was performed. The foreign body was an iron pill. Steroids were administered to prevent local inflammation and granulation of the bronchial mucosa. She recovered and was discharged on day 15. A patient with severe bronchial mucosal injury caused by iron pill aspiration was successfully treated by bronchoscopic removal.

摘要

一名84岁女性因发热和呼吸困难被转诊至我院。她的动脉血氧分压为48.3托。胸部计算机断层扫描(CT)显示右中间段支气管有异物嵌顿。支气管镜检查发现右中间段支气管有一个暗红色椭圆形异物嵌顿,并进行了支气管镜下取出。异物为一枚铁丸。给予类固醇以预防支气管黏膜局部炎症和肉芽形成。她于第15天康复出院。一名因误吸铁丸导致严重支气管黏膜损伤的患者通过支气管镜下取出成功治愈。

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