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通过虹吸法对吸入燃油和汽油病例的分析。

The analysis of the cases of aspired fuel oil and gasoline through siphonage method.

作者信息

Gonullu Hayriye, Karadas Sevdegü, Oncü Mehmet Resit, Dulger A Cumhur, Keskin Siddik

机构信息

Department of Emergency Medicine, Yuzuncu Yil University, Turkey.

出版信息

J Pak Med Assoc. 2013 Mar;63(3):383-4.

Abstract

Accidental aspiration of petroleum products in children can also be witnessed in adults working with petroleum products by siphonage or swallowing fire for demonstration purposes. Ten cases admitted to Yuzuncu Yil University Emergency Service due to fuel oil and gasoline aspiration in a three-year period were retrospectively analysed. All cases were males and their average age was determined as 32,4 +/- 7.83 years. Three of the patients aspirated gasoline and 7 fuel oil. Blood gas values in all patients were at normal levels and their average white blood cell values were 16,590. The most frequent symptom for referral to our service was shortness of breath. Infiltration was confirmed in the chest X-ray of 2 patients with aspirated fuel oil and all cases of gasoline aspiration. All patients received methylprednisolone and IV proton-pump inhibitors for treatment. Eight patients were given antibiotics. All victims were discharged from the hospital after recovery. Aspiration of petroleum products which is normally rarely seen is witnessed more frequently in under developed countries. Since the findings determined by screening methods are often nonspecific, history is important for making a diagnosis.

摘要

儿童意外吸入石油产品的情况在通过虹吸或为演示目的吞火而接触石油产品的成年人中也有发生。对三年内因吸入燃油和汽油而入住于祖尔恰伊勒大学急诊室的10例病例进行了回顾性分析。所有病例均为男性,平均年龄确定为32.4±7.83岁。其中3例患者吸入汽油,7例吸入燃油。所有患者的血气值均处于正常水平,平均白细胞值为16,590。转诊至我们科室最常见的症状是呼吸急促。2例吸入燃油的患者和所有吸入汽油的患者胸部X光片均证实有浸润。所有患者均接受甲基强的松龙和静脉注射质子泵抑制剂治疗。8例患者使用了抗生素。所有受害者康复后均出院。石油产品吸入通常很少见,但在欠发达国家更为常见。由于筛查方法确定的结果往往不具有特异性,病史对于诊断很重要。

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