Irwin R S, Ashba J K, Braman S S, Lee H Y, Corrao W M
JAMA. 1977 Jun 20;237(25):2744-5.
During a five-year period, food asphyxiation caused 1.3% of all deaths of patients who came to autopsy at a hospital for chronic diseases. Patients died suddendly, during or shortly after meals. Acute myocardial infarction was mistakenly diagnosed in eight of the 14 patients until autopsy was performed. Sedation, old age, and poor dentition predisposed to aspiration. Food asphyxiation is a common problem whenever and wherever people eat. To minimize its occurrence in hospitalized patients, sedatives should be prescribed judiciously, and diets ordered appropriately. Physicians should learn the simple methods of extracting inhaled food.
在五年期间,食物窒息导致一所慢性病医院接受尸检的患者中1.3%的人死亡。患者在进餐期间或餐后不久突然死亡。在14名患者中,有8名在尸检前被误诊为急性心肌梗死。镇静、高龄和牙齿不好易引发误吸。无论何时何地人们进食,食物窒息都是一个常见问题。为尽量减少其在住院患者中的发生,应谨慎开具镇静剂,并合理安排饮食。医生应学会取出吸入食物的简单方法。