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柴油误吸所致肺炎

Pneumonia caused by diesel fuel aspiration.

作者信息

Haciomeroglu Osman, Ekinci Gulbanu Horzum, Ongel Esra Akkutuk, Kavas Murat, Burunsuzoglu Bunyamin, Ozel Yasemin, Yilmaz Adnan

机构信息

Department of Pulmonology, Sureyyapasa Center for Chest Diseases and Thoracic Surgery Training and Investigation Hospital, Istanbul, Turkey.

出版信息

J Coll Physicians Surg Pak. 2014 Nov;24 Suppl 3:S272-4.

PMID:25518800
Abstract

An 18 years old Turkish boy was admitted to hospital due to cough, chest pain and shortness of breath for 4 days. Twentyfour hours before the onset of symptoms, the patient had accidentally aspirated diesel while siphoning from the fuel tank of a car. On admission, he was febrile and tachypnoeic. There were fine crackles on auscultation of the lungs. Chest X-ray revealed bilateral infiltration in the lower lung zones. Arterial blood gas analysis showed pH of 7.42, PaO2 of 45.6 mmHg, PaCO2 of 41.3 mmHg and oxygen saturation of 85.2%. He was treated with course of corticosteroid, antibiotic and oxygen supplementation. Chest X-ray showed near-complete resolution 2 weeks after discharge.

摘要

一名18岁的土耳其男孩因咳嗽、胸痛和呼吸急促4天入院。症状出现前24小时,患者在从汽车油箱虹吸柴油时意外误吸。入院时,他发热且呼吸急促。肺部听诊有细湿啰音。胸部X线显示双下肺野浸润。动脉血气分析显示pH值7.42,动脉血氧分压(PaO2)45.6 mmHg,动脉血二氧化碳分压(PaCO2)41.3 mmHg,氧饱和度85.2%。他接受了皮质类固醇、抗生素治疗及吸氧。出院2周后胸部X线显示几乎完全吸收。

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引用本文的文献

1
Hydrocarbon pneumonitis following fuel siphonage: A case report and literature review.燃油虹吸后发生的碳氢化合物肺炎:一例报告及文献综述
World J Emerg Med. 2019;10(2):69-74. doi: 10.5847/wjem.j.1920-8642.2019.02.001.