Hamada Noboru, Tanaka Suzuka
Respiratory Medicine, Okayama City Hospital, Okayama, JPN.
Respiratory Medicine, National Hospital Organization Okayama Medical Center, Okayama, JPN.
Cureus. 2021 Jul 13;13(7):e16375. doi: 10.7759/cureus.16375. eCollection 2021 Jul.
We herein report an extremely rare case of acute respiratory failure due to pica of the high-molecular-weight polymers in a diaper (HMWPD). An 81-year-old woman was admitted to our hospital because of dyspnea. Several hours earlier, the facility staff saw her tearing the diaper and eating it. And several hours later, the staff found her complaining of dyspnea. Her chest computed tomography revealed airway foreign bodies. Immediately, flexible bronchoscopy was performed. The trachea and the bilateral bronchi were filled with the HMWPD. We tried to grasp the HMWPD with various common instruments, but the HMWPD could not be grasped. Finally, we performed direct bronchoscopic suction. All the HMWPD were removed successfully. The HMWPD have hygroscopic property resulting in volume expansion and the fatal consequence of upper airway obstruction. Physicians working in an emergency department should be aware of this acute respiratory failure due to diaper pica and its effective treatment.
我们在此报告一例极为罕见的因误食尿布中的高分子量聚合物（HMWPD）导致急性呼吸衰竭的病例。一名81岁女性因呼吸困难入院。数小时前，护理人员看到她撕开尿布并食用。数小时后，护理人员发现她诉说呼吸困难。她的胸部计算机断层扫描显示气道内有异物。立即进行了纤维支气管镜检查。气管和双侧支气管内充满了HMWPD。我们尝试用各种常用器械抓取HMWPD，但未能成功抓取。最后，我们进行了直接支气管镜吸引。所有HMWPD均被成功清除。HMWPD具有吸湿性，可导致体积膨胀并造成上呼吸道梗阻的致命后果。急诊科医生应了解这种因误食尿布导致的急性呼吸衰竭及其有效治疗方法。
