Lim Sang Youn, Sohn Sung Birm, Lee Jung Min, Lee Ji Ae, Chung Sangmi, Kim Junga, Choi Juwhan, Kim Sehwa, Yoo Ah Young, Roh Jong Ah, Park Haein, Kim Won Shik, Sim Jae Kyeom, Shim Jae Jeong, Min Kyung Hoon
Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Korea University Medical School, Seoul, Korea.
Tuberc Respir Dis (Seoul). 2016 Jan;79(1):37-41. doi: 10.4046/trd.2016.79.1.37. Epub 2015 Dec 31.
Iron supplements such as ferrous sulfate tablets are usually used to treat iron-deficiency anemia in some elderly patients with primary neurologic disorders or decreased gag reflexes due to stroke, senile dementia, or parkinsonism. While the aspiration of ferrous sulfate is rarely reported, it is a potentially life-threatening condition that can lead to airway necrosis and bronchial stenosis. A detailed history and high suspicion of aspiration are required to avoid delays in diagnosis and treatment. The diagnosis can be confirmed by bronchoscopic examination and a tissue biopsy. Early removal of the aspirated tablet prevents acute complications, such as bronchial necrosis, hemoptysis, and lobar consolidation. Tablet removal is also necessary to prevent late bronchial stenosis. We presented the first case in Korea of a ferrous sulfate tablet aspiration that induced severe endobronchial inflammation.
硫酸亚铁片等铁补充剂通常用于治疗一些患有原发性神经系统疾病或因中风、老年痴呆症或帕金森病导致吞咽反射减弱的老年患者的缺铁性贫血。虽然硫酸亚铁误吸的报道很少，但这是一种潜在的危及生命的情况，可导致气道坏死和支气管狭窄。需要详细的病史和对误吸的高度怀疑，以避免诊断和治疗的延误。通过支气管镜检查和组织活检可以确诊。尽早取出误吸的药片可预防急性并发症，如支气管坏死、咯血和肺叶实变。取出药片对于预防晚期支气管狭窄也很必要。我们报道了韩国首例因硫酸亚铁片误吸导致严重支气管内炎症的病例。
