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大量钡剂误吸

Large-volume barium aspiration.

作者信息

Hundemer Gregory L, Kumar Varun, Vaduganathan Muthiah

机构信息

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).

出版信息

Proc (Bayl Univ Med Cent). 2015 Apr;28(2):183-4. doi: 10.1080/08998280.2015.11929222.

Abstract

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.

摘要

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。

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本文引用的文献

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Aspiration of barium contrast.钡剂造影剂抽吸
Case Rep Pulmonol. 2014;2014:215832. doi: 10.1155/2014/215832. Epub 2014 Sep 21.
3
The modified barium swallow and the functional endoscopic evaluation of swallowing.改良钡餐吞咽造影和吞咽功能内镜评估
Otolaryngol Clin North Am. 2013 Dec;46(6):1009-22. doi: 10.1016/j.otc.2013.08.001. Epub 2013 Oct 8.
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N Engl J Med. 2012 Mar 15;366(11):1038. doi: 10.1056/NEJMicm1108468.
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Barium aspiration.钡剂误吸
QJM. 2012 Sep;105(9):903-4. doi: 10.1093/qjmed/hcr146. Epub 2011 Aug 24.
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Lancet. 2004;364(9452):2220. doi: 10.1016/S0140-6736(04)17595-8.
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Images in clinical medicine. A deadly examination.临床医学影像。一场致命的检查。
N Engl J Med. 2003 Mar 13;348(11):1016. doi: 10.1056/NEJMicm020803.

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