Hundemer Gregory L, Kumar Varun, Vaduganathan Muthiah
Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts (Hundemer, Vaduganathan), and the Department of Medicine, Baylor College of Medicine, Houston, Texas (Kumar).
Proc (Bayl Univ Med Cent). 2015 Apr;28(2):183-4. doi: 10.1080/08998280.2015.11929222.
We present a case of large-volume barium aspiration in a 56-year-old woman with stage IV tongue squamous cell carcinoma and longstanding dysphagia. The patient rapidly developed hypoxemic respiratory failure from the resultant chemical pneumonitis. However, her respiratory status improved with supportive care alone in 48 hours. Barium aspiration is rare and often produces dramatic radiographic findings, but is generally associated with a favorable prognosis.
我们报告一例56岁患有IV期舌鳞状细胞癌且长期吞咽困难的女性发生大量钡剂误吸的病例。患者因由此导致的化学性肺炎迅速发展为低氧性呼吸衰竭。然而,仅通过支持治疗,她的呼吸状况在48小时内就得到了改善。钡剂误吸很少见,通常会产生显著的影像学表现,但一般预后良好。