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与使用气雾剂吸入器相关的异物吸入

Foreign body aspiration associated with the use of an aerosol inhaler.

作者信息

Hannan S E, Pratt D S, Hannan J M, Brienza L T

出版信息

Am Rev Respir Dis. 1984 Jun;129(6):1025-7. doi: 10.1164/arrd.1984.129.6.1025.

DOI:10.1164/arrd.1984.129.6.1025
PMID:6732044
Abstract

A 51-yr-old asthmatic carpenter aspirated a penny using a hand-held, self-pressurized aerosol device. The penny was extracted using a fiberoptic bronchoscope. Because no similar instances are reported in the medical literature, experimental systems were designed to test the likelihood of this event happening with a variety of nebulizers. Nickels , dimes , and pennies were tested for ejection potential and for aspiration likelihood. All inhalers, excepting that designed for Intal, were capable of accommodating dimes and pennies and ejecting them down simulated airways during inspiration. Nickels were accommodated by several inhalers but were not ejected during conventional inspiratory volumes and pressures.

摘要

一名51岁的哮喘木匠使用手持自加压气雾剂装置时误吸了一枚便士。通过纤维支气管镜取出了这枚便士。由于医学文献中未报道过类似病例,因此设计了实验系统来测试各种雾化器发生此类事件的可能性。对镍币、一角硬币和便士进行了喷射潜力和误吸可能性测试。除专为因他宁设计的吸入器外,所有吸入器都能容纳一角硬币和便士,并在吸气时将它们沿着模拟气道喷出。几种吸入器能容纳镍币,但在常规吸气量和压力下不会将其喷出。

相似文献

1
Foreign body aspiration associated with the use of an aerosol inhaler.与使用气雾剂吸入器相关的异物吸入
Am Rev Respir Dis. 1984 Jun;129(6):1025-7. doi: 10.1164/arrd.1984.129.6.1025.
2
[Inhalation of beta-stimulators: comparison of the effects of 6 different inhalation devices].[吸入β受体激动剂:6种不同吸入装置效果的比较]
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Problems patients have using pressurized aerosol inhalers.患者使用压力定量气雾剂吸入器时存在的问题。
Eur J Respir Dis Suppl. 1982;119:101-4.
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A comparison of three means of pressurized aerosol inhaler use.
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Different techniques of aerosol administration to the lower respiratory tract.向下呼吸道给药的不同技术。
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Inhalation of a coin and a capsule from metered-dose inhalers.吸入来自定量吸入器的硬币和胶囊。
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An objective assessment of the tube spacer in patients unable to use a conventional pressurized aerosol efficiently.对无法有效使用传统加压气雾剂的患者的气管间隔器进行客观评估。
Br J Dis Chest. 1981 Apr;75(2):165-8. doi: 10.1016/0007-0971(81)90049-8.
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Inhalatory therapy training: a priority challenge for the physician.吸入疗法培训:医师面临的一项首要挑战。
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How should a pressurized beta-adrenergic bronchodilator be inhaled?加压β-肾上腺素能支气管扩张剂应如何吸入?
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Two-penny aspiration: unusual complication of a metered-dose inhaler.两便士误吸:定量吸入器的罕见并发症
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引用本文的文献

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Uncapped Metered-Dose Inhalers: A Risk for Foreign Body Aspiration. A Case Report and Review of the Literature.无帽计量吸入器:异物吸入的风险。病例报告及文献复习。
Int J Chron Obstruct Pulmon Dis. 2023 Sep 1;18:1931-1935. doi: 10.2147/COPD.S408845. eCollection 2023.
2
Treasure in the chest.胸中之宝。
BMJ Case Rep. 2015 Apr 9;2015:bcr2014207398. doi: 10.1136/bcr-2014-207398.
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Foreign body aspiration: a hazard of metered dose inhalers.异物吸入:定量吸入器的一种危害。
BMJ. 1993 Feb 27;306(6877):575-6. doi: 10.1136/bmj.306.6877.575.
4
Foreign body inhalation: a danger of metered dose inhalers.异物吸入:定量吸入器的一种风险。
J R Coll Gen Pract. 1989 Nov;39(328):476.