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误吞铁片后发生支气管狭窄。

Bronchial stenosis after aspiration of an iron tablet.

作者信息

Tarkka M, Anttila S, Sutinen S

机构信息

Department of Thoracic Surgery, Oulu University Central Hospital, Finland.

出版信息

Chest. 1988 Feb;93(2):439-41. doi: 10.1378/chest.93.2.439.

DOI:10.1378/chest.93.2.439
PMID:3276459
Abstract

Stenosis of the right intermediate bronchus was found in a 60-year-old woman four months after aspiration of an iron tablet. Right middle and lower lobe lobectomies were performed. By light microscopy, small amounts of foreign, iron-positive material surrounded by giant cells, large collections of hemosiderin containing macrophages, and severe fibrosis with only minimal inflammation were observed in the bronchial wall. Early diagnosis and management are stressed in order to avoid the stenosing process which is also possible after aspiration of some tablets.

摘要

一名60岁女性在误吸一片铁片四个月后被发现右中间支气管狭窄。遂进行了右肺中叶和下叶切除术。光镜下可见,支气管壁有少量被巨细胞包围的含铁阳性异物、大量含铁血黄素的巨噬细胞聚集,以及严重纤维化且仅有轻微炎症。强调早期诊断和处理,以避免狭窄过程,误吸某些片剂后也可能出现这种情况。

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Bronchial stenosis after aspiration of an iron tablet.误吞铁片后发生支气管狭窄。
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引用本文的文献

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Iron pill aspiration syndrome: A case report and literature review.铁剂丸误吸综合征:一例病例报告及文献综述
Respir Med Case Rep. 2023 Aug 9;45:101908. doi: 10.1016/j.rmcr.2023.101908. eCollection 2023.
2
A Case of Significant Endobronchial Injury due to Recurrent Iron Pill Aspiration.一例因反复误吸铁剂药丸导致的严重支气管内损伤病例。
Tuberc Respir Dis (Seoul). 2015 Oct;78(4):440-4. doi: 10.4046/trd.2015.78.4.440. Epub 2015 Oct 1.
3
Bronchoscopic and histological changes over time following acute ferrous sulphate tablet aspiration.
急性硫酸亚铁片误吸后随时间推移的支气管镜及组织学变化
BMJ Case Rep. 2012 Dec 18;2012:bcr2012007329. doi: 10.1136/bcr-2012-007329.
4
Iron lung: bronchoscopic and pathological consequences of aspiration of ferrous sulphate.铁肺:硫酸亚铁吸入的支气管镜检查及病理后果
Thorax. 1991 Feb;46(2):142-3. doi: 10.1136/thx.46.2.142.