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糖皮质激素在异物吸入管理中的作用

Usefulness Of Glucocorticoids In The Management Of Foreign Body Aspiration.

作者信息

Pagán Rivera Bryan L, Anselmi Francisco Jaume, Torres Maria Del Mar, Segarra Amaury, Rivera Jose Ramirez

出版信息

Bol Asoc Med P R. 2015 Jul-Sep;107(3):24-7.

PMID:26742192
Abstract

Foreign body aspiration can be a life-threatening emergency. An aspirated solid or semi-solid object may lodge in the larynx, trachea or other breathing airways. If the object is large enough to cause nearly complete obstruction of the airway, asphyxia may rapidly cause death. We report a 19-year old man admitted with right lower lobe pneumonia who spontaneously expelled a foreign body, one day after admission and glucocorticoids administration. Glucocorticoids should be considered in foreign body aspiration management because improvement of the inflammatory reaction may facilitate expontaneous expulsion or foreign body extraction

摘要

异物吸入可能是危及生命的紧急情况。吸入的固体或半固体物体可能嵌顿在喉部、气管或其他呼吸气道中。如果物体大到足以导致气道几乎完全阻塞,窒息可能迅速导致死亡。我们报告一名19岁男性因右下叶肺炎入院,在入院并给予糖皮质激素治疗一天后自行排出了异物。在异物吸入的处理中应考虑使用糖皮质激素,因为炎症反应的改善可能有助于异物的自行排出或取出。

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