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急性石蜡油误吸婴儿的长期影像学随访中未消退的表现

Non-resolving Findings in a Long-term Radiographic Follow-up of an Infant with Acute Paraffin Oil Aspiration.

作者信息

Stathis George, Priftis Konstantinos N, Moustaki Maria, Alexopoulou Efthymia

机构信息

Department of Radiology, School of Medicine, National and Kapodistrian University of Athens, General University Hospital "ATTIKON", Chaidari, GR 124 62, Athens, Greece.

Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, General University Hospital "ATTIKON", Chaidari, GR 124 62, Athens, Greece.

出版信息

J Clin Imaging Sci. 2014 Jan 30;4:2. doi: 10.4103/2156-7514.126028. eCollection 2014.

DOI:10.4103/2156-7514.126028
PMID:24678434
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3952376/
Abstract

Acute lipoid pneumonia (LP) in children is a rare disorder caused by the aspiration of oil-based substances and is difficult to diagnose due to non-specific clinical symptoms and radiological findings. We report the case of a 5-month-old male infant with acute LP caused by accidental aspiration of a large amount of mineral oil. We present the imaging findings in the computed tomography scans performed during his hospitalization and focus on the residual abnormalities seen on a scan performed 7-years after the incident. This, to the best of our knowledge, is the longest follow-up report of an acute exogenous LP patient and the only case that demonstrates non-resolving abnormalities in a pediatric patient after a single acute episode of mineral oil aspiration.

摘要

儿童急性类脂性肺炎(LP)是一种由油性物质误吸引起的罕见疾病,由于临床症状和影像学表现不具特异性,故难以诊断。我们报告一例5个月大的男婴,因意外误吸大量矿物油而导致急性LP。我们展示了其住院期间计算机断层扫描的影像学表现,并着重关注事件发生7年后扫描中发现的残留异常。据我们所知,这是急性外源性LP患者最长的随访报告,也是唯一一例在单次急性矿物油误吸发作后儿科患者出现未消退异常的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1864/3952376/464c7afe4a49/JCIS-4-2-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1864/3952376/70ba80280ea6/JCIS-4-2-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1864/3952376/464c7afe4a49/JCIS-4-2-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1864/3952376/70ba80280ea6/JCIS-4-2-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1864/3952376/464c7afe4a49/JCIS-4-2-g003.jpg

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本文引用的文献

1
Lipoid pneumonia in 53 patients after aspiration of mineral oil: comparison of high-resolution computed tomography findings in adults and children.53例矿物油误吸后脂质性肺炎:成人与儿童高分辨率计算机断层扫描结果比较
J Comput Assist Tomogr. 2010 Jan;34(1):9-12. doi: 10.1097/RCT.0b013e3181a9ec9f.
2
Lipoid pneumonia: spectrum of clinical and radiologic manifestations.类脂性肺炎:临床和影像学表现谱。
AJR Am J Roentgenol. 2010 Jan;194(1):103-9. doi: 10.2214/AJR.09.3040.
3
Evolution of exogenous lipoid pneumonia in children: clinical aspects, radiological aspects and the role of bronchoalveolar lavage.
儿童外源性类脂性肺炎的演变:临床方面、放射学方面和支气管肺泡灌洗的作用。
J Bras Pneumol. 2009 Sep;35(9):839-45. doi: 10.1590/s1806-37132009000900004.
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Clinic and radiological improvement of lipoid pneumonia with multiple bronchoalveolar lavages.多次支气管肺泡灌洗治疗类脂性肺炎的临床及影像学改善情况
Pediatr Pulmonol. 2009 Apr;44(4):309-15. doi: 10.1002/ppul.20918.
5
Lipoid pneumonia in children following aspiration of mineral oil used in the treatment of constipation: high-resolution CT findings in 17 patients.儿童因误吸用于治疗便秘的矿物油后发生的类脂性肺炎:17例患者的高分辨率CT表现
Pediatr Radiol. 2007 Nov;37(11):1135-9. doi: 10.1007/s00247-007-0603-1. Epub 2007 Sep 18.
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Radiological and clinical findings in acute and chronic exogenous lipoid pneumonia.急性和慢性外源性类脂性肺炎的放射学和临床发现
J Thorac Imaging. 2003 Oct;18(4):217-24. doi: 10.1097/00005382-200310000-00002.
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Lipoid pneumonia in children: clinical and imagenological manifestations.儿童类脂性肺炎:临床及影像学表现
Arch Med Res. 2000 Jan-Feb;31(1):42-7. doi: 10.1016/s0188-4409(99)00084-3.
8
Radiographic plain film and CT findings in lipoid pneumonia in infants following aspiration of mineral oil used in the treatment of partial small bowel obstruction by Ascaris lumbricoides.婴儿因蛔虫致部分小肠梗阻接受治疗时误吸矿物油后发生类脂性肺炎的X线平片及CT表现
Pediatr Radiol. 1985;15(3):157-60. doi: 10.1007/BF02388601.