Nakashima Saki, Miyamoto Atsushi, Takahashi Yui, Nakahama Hiroshi, Moriguchi Shuhei, Murase Kyoko, Morokawa Nasa, Daiya Takai
Department of Respiratory Medicine, Respiratory Center, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo, 105-8470, Japan.
Respir Med Case Rep. 2021 Jun 29;33:101466. doi: 10.1016/j.rmcr.2021.101466. eCollection 2021.
We present the case of an 80-year-old woman with Mendelson's syndrome complicated by bacterial aspiration pneumonia caused by consciousness loss followed by vomiting resulting from putamen bleeding. Her condition worsened rapidly to develop respiratory failure, within a few hours; thereafter, she was intubated. and were detected from the aspirated sputum sample culture. She was diagnosed with acute respiratory distress syndrome with Mendelson's syndrome complicated by bacterial aspiration pneumonia. Corticosteroid and antibiotic administration improved her condition and led to successful extubation; therefore, these treatment modalities were invaluable. We suggest the clinical considerations for the corticosteroid and antibiotic use in such cases.
我们报告了一例80岁女性患者,患有门德尔松综合征,并发因意识丧失继发壳核出血后呕吐所致的细菌性吸入性肺炎。她的病情在数小时内迅速恶化,发展为呼吸衰竭;此后,她接受了气管插管。在吸出的痰液样本培养中检测到了[具体细菌名称未给出]和[具体细菌名称未给出]。她被诊断为急性呼吸窘迫综合征合并门德尔松综合征及细菌性吸入性肺炎。给予皮质类固醇和抗生素治疗改善了她的病情,并成功拔管;因此,这些治疗方式非常重要。我们提出了在此类病例中使用皮质类固醇和抗生素的临床注意事项。