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口服汽油摄入后发生碳氢化合物误吸并伴有急性呼吸窘迫综合征的多药治疗:一例报告

A Multidrug Therapy for Hydrocarbon Aspiration With Acute Respiratory Distress Syndrome After Exposure to Oral Benzine Intake: A Case Report.

作者信息

Uno Mari, Hongo Takashi, Kobayashi Sho, Tamura Tomokazu

机构信息

Internal Medicine, Okayama Saiseikai General Hospital, Okayama, JPN.

Emergency Medicine, Okayama Saiseikai General Hospital, Okayama, JPN.

出版信息

Cureus. 2021 Nov 18;13(11):e19693. doi: 10.7759/cureus.19693. eCollection 2021 Nov.

Abstract

Oral benzine intake with suicidal tendencies is an uncommon life-threatening respiratory emergency without a treatment regimen.  A 50-year-old man attempted suicide with 100 ml of oral benzine intake and developed severe acute respiratory distress syndrome (ARDS) with hydrocarbon aspiration. He received mechanical ventilation with placement in the prone position and low tidal volume, neuromuscular blocking agents, bronchoalveolar lavage, steroid pulse therapy, antibiotics, and sivelestat sodium hydrate. He was transferred to the psychiatric hospital five days after admission without any adverse events. ARDS associated with oral benzine intake could be treated with general treatments for ARDS.

摘要

口服汽油并有自杀倾向是一种罕见的危及生命的呼吸急症,目前尚无治疗方案。一名50岁男性口服100毫升汽油企图自杀,因吸入碳氢化合物而发展为严重急性呼吸窘迫综合征(ARDS)。他接受了机械通气,采取俯卧位和低潮气量通气,使用了神经肌肉阻滞剂、支气管肺泡灌洗、类固醇脉冲疗法、抗生素和注射用西维来司他钠。入院五天后他被转至精神病院,未出现任何不良事件。与口服汽油相关的ARDS可用ARDS的常规治疗方法进行治疗。

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