Department of Anesthesiology and Pain Medicine, School of Medicine, Chosun University, Gwangju, Korea.
Korean J Anesthesiol. 2011 Sep;61(3):251-6. doi: 10.4097/kjae.2011.61.3.251. Epub 2011 Sep 23.
Aspiration pneumonia is usually caused by aspiration of gastric contents during anesthesia. It causes severe pulmonary complications. Povidone iodine was used widely as an oral antiseptic. Although povidone iodine is thought to be a safe and effective antiseptic, severe complications from its aspiration may occur. We present a case of pneumonia secondary to aspiration of povidone iodine in a 16 year old female patient who underwent orofacial surgery. Aspiration pneumonia must be treated immediately. Mechanical ventilation with PEEP and periodical bronchial toilet with fiberoptic bronchoscopy were carried in the operating room and ICU. Bronchodilators, antibiotics, steroids and diuretics were also used to treat pneumonia. The patient was treated successfully without any complication.
吸入性肺炎通常是由麻醉期间胃内容物的吸入引起的，它会导致严重的肺部并发症。聚维酮碘被广泛用作口腔消毒剂。虽然聚维酮碘被认为是一种安全有效的消毒剂，但仍可能发生严重的吸入并发症。我们报告了一例 16 岁女性患者在接受口腔颌面手术后因吸入聚维酮碘引起的肺炎。吸入性肺炎必须立即治疗。在手术室和 ICU 中进行了 PEEP 机械通气和定期纤维支气管镜支气管灌洗。还使用支气管扩张剂、抗生素、类固醇和利尿剂来治疗肺炎。患者成功治疗，没有任何并发症。
