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柴油吸入继发类脂性肺炎:一种职业危害。

Lipoid Pneumonia Secondary to Diesel Aspiration: An Occupational Hazard.

作者信息

Aurangabadkar Gaurang M, Choudhary Sumer S, Khan Shafee M

机构信息

Respiratory Medicine, Datta Meghe Medical College, Datta Meghe Institute of Higher Education and Research (Deemed University), Nagpur, IND.

出版信息

Cureus. 2024 Apr 18;16(4):e58509. doi: 10.7759/cureus.58509. eCollection 2024 Apr.

DOI:10.7759/cureus.58509
PMID:38765374
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11101980/
Abstract

Lipoid pneumonia is defined as a type of pneumonia that occurs as a result of inhalation of either endogenous or exogenous lipid-containing products in the lungs. We present the case of a 55-year-old male patient who presented with chief complaints of cough with blood-tinged sputum, right-sided chest pain, dyspnea, and fever for two days. The patient gave a history of working as a mechanic in an automobile garage and reported an episode of accidental aspiration of diesel during diesel siphoning at the workplace. A chest X-ray and computed tomography (CT) scan of the chest were done, which revealed right-sided lower lobe consolidation. The patient was admitted and started on intravenous antibiotics, corticosteroids, and inhaled bronchodilators, along with oxygen support. A bronchoscopy was done, which revealed the presence of thick mucoid secretions in the right lower lobe bronchus. The patient was discharged after 10 days with stable vitals and was advised to have regular follow-ups to monitor for any long-term pulmonary complications.

摘要

类脂性肺炎被定义为一种由于肺部吸入内源性或外源性含脂产物而发生的肺炎。我们报告一例55岁男性患者,其主要诉咳嗽伴痰中带血、右侧胸痛、呼吸困难及发热两天。该患者有在汽车修理店当机械师的工作经历,报告称在工作场所虹吸柴油时有一次意外吸入柴油的情况。进行了胸部X光和胸部计算机断层扫描(CT),结果显示右下叶实变。患者入院后开始静脉使用抗生素、皮质类固醇和吸入性支气管扩张剂,并给予氧气支持。进行了支气管镜检查,发现右下叶支气管有浓稠的黏液样分泌物。患者在10天后生命体征稳定出院,并被建议定期随访以监测任何长期肺部并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d09a/11101980/4a383871b69e/cureus-0016-00000058509-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d09a/11101980/d20154cb5606/cureus-0016-00000058509-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d09a/11101980/889597a62d24/cureus-0016-00000058509-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d09a/11101980/4a383871b69e/cureus-0016-00000058509-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d09a/11101980/d20154cb5606/cureus-0016-00000058509-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d09a/11101980/889597a62d24/cureus-0016-00000058509-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d09a/11101980/4a383871b69e/cureus-0016-00000058509-i03.jpg

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