Studer D, Brill A K, Joost C, Stucki A
Klinik für Pneumologie, Berner Reha Zentrum Heiligenschwendi und Universitätsklinik für Pneumologie, Inselspital Bern.
Praxis (Bern 1994). 2012 Jun 6;101(12):793-8. doi: 10.1024/1661-8157/a000962.
Fire-eater's pneumonitis, caused by aspiration of petroleum, is an infrequent clinical problem in our region. It is an acute inflammatory response of the lungs to the accidental aspiration of hydrocarbons, as shown in our patient. Despite the severe initial clinical und radiological presentation, fire-eater's pneumonitis usually shows a favourable evolution with "restitutio ad integrum". Acute mortality rate is less than 1%. Fire-eater's lung is a medical emergency and needs medical support and surveillance. There is no good evidence that systemic cortico-steroids and antibiotics are effective in the treatment of hydrocarbon aspiration. Concerning chronic lung injury after fire-eater's pneumonitis, there are favorable results from short observational series.
食火者肺炎由石油吸入引起，在我们地区是一个不常见的临床问题。如我们的患者所示，它是肺部对碳氢化合物意外吸入的急性炎症反应。尽管最初临床和放射学表现严重，但食火者肺炎通常会有良好的转归并“完全恢复”。急性死亡率低于1%。食火者肺炎是一种医疗急症，需要医疗支持和监测。没有充分证据表明全身使用皮质类固醇和抗生素对治疗碳氢化合物吸入有效。关于食火者肺炎后的慢性肺损伤，短期观察系列有一些良好结果。
