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褪黑素抽吸:经可弯曲支气管镜治疗。

Melatonin aspiration: Treatment with flexible bronchoscopy.

作者信息

Ahmed Haroon, Ahmed Ameenjamal, Hadique Sarah

机构信息

Division of Pulmonary, Critical Care and Sleep Medicine at West Virginia University, Morgantown, WV, USA.

出版信息

Respir Med Case Rep. 2023 Jun 12;45:101881. doi: 10.1016/j.rmcr.2023.101881. eCollection 2023.

DOI:10.1016/j.rmcr.2023.101881
PMID:37334031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10275709/
Abstract

A 68-year-old male with past medical history 84 pack year smoking history (quit in 2000), mild chronic obstructive pulmonary disease (COPD), adenocarcinoma of right upper lobe treated with surgery and chemoradiation, and melanoma resection in 2013 presented with a one-month history of cough with sputum production and progressive dyspnea on exertion. He did not improve with standard treatment of antibiotics and steroids. He underwent flexible bronchoscopy that revealed an aspirated pill. This was successfully removed in the same session with the flexible bronchoscope.

摘要

一名68岁男性,有84包年吸烟史(2000年戒烟),轻度慢性阻塞性肺疾病(COPD),右上叶腺癌经手术及放化疗治疗,2013年行黑色素瘤切除术,现出现咳嗽伴咳痰1个月及进行性劳力性呼吸困难。经抗生素和类固醇标准治疗后病情未改善。他接受了可弯曲支气管镜检查,发现一枚误吸的药丸。在同一次检查中用可弯曲支气管镜成功取出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd9/10275709/3813aeacb003/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd9/10275709/31b196212b92/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd9/10275709/2386687aedb0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd9/10275709/08e7ceda3048/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd9/10275709/ac26c61a95f0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd9/10275709/3813aeacb003/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd9/10275709/31b196212b92/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd9/10275709/2386687aedb0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd9/10275709/08e7ceda3048/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd9/10275709/ac26c61a95f0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd9/10275709/3813aeacb003/gr5.jpg

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本文引用的文献

1
Application of flexible fiberoptic bronchoscopy in the removal of adult airway foreign bodies.可弯曲纤维支气管镜在成人气道异物取出术中的应用。
BMC Surg. 2020 Jul 23;20(1):165. doi: 10.1186/s12893-020-00825-5.
2
A curious case of pill aspiration.一例罕见的药丸误吸病例。
Chest. 2015 Jun;147(6):e234-e235. doi: 10.1378/chest.15-0184.
3
"Pills" and the air passages: a continuum.药丸与气道:一个连续体。
Chest. 2015 Jan;147(1):242-250. doi: 10.1378/chest.14-0531.
4
A foreign body of a different kind: Pill aspiration.一种不同类型的异物:药丸误吸。
Ann Thorac Med. 2014 Jan;9(1):1-2. doi: 10.4103/1817-1737.124404.
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"Pills" and the air passages.药丸和气道。
Chest. 2013 Aug;144(2):651-660. doi: 10.1378/chest.13-0080.
6
Evaluation and management of pill aspiration: case discussion and review of the literature.药片吸入的评估和处理:病例讨论和文献复习。
Chest. 2013 Jun;143(6):1791-1795. doi: 10.1378/chest.12-1571.
7
Bronchial stenosis after iron pill aspiration.铁丸误吸后导致的支气管狭窄。
J Bronchology Interv Pulmonol. 2013 Jan;20(1):96-7. doi: 10.1097/LBR.0b013e318282415a.
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Two cases of aspiration of calcium tablets.两例钙片误吸病例。
Lung India. 2011 Oct;28(4):312-4. doi: 10.4103/0970-2113.85700.
9
'Iron lung': distinctive bronchoscopic features of acute iron tablet aspiration.
Respirology. 2003 Dec;8(4):541-3. doi: 10.1046/j.1440-1843.2003.00506.x.
10
Syndrome of iron pill aspiration.铁剂误吸综合征
Chest. 2002 Apr;121(4):1355-7. doi: 10.1378/chest.121.4.1355.