Overdahl M C, Wewers M D
Division of Pulmonary and Critical Care Medicine, Ohio State University, Columbus.
Chest. 1994 May;105(5):1600-2. doi: 10.1378/chest.105.5.1600.
We report a case of an 85-year-old woman who presented with acute respiratory failure, caused by aspirating a sucralfate tablet that totally occluded her left main-stem bronchus. Acute respiratory failure resolved after bronchoscopic removal of the markedly expanded tablet. To our knowledge, the acute obstruction of a main-stem bronchus by an aspirated foreign body has not been previously described in adults. We believe that the unusual properties of sucralfate tablets (rapid expansion and mucosal binding) were contributing factors in this patient.
我们报告了一例85岁女性患者，她因误吸一片硫糖铝片导致急性呼吸衰竭，该药片完全阻塞了她的左主支气管。经支气管镜取出明显膨胀的药片后，急性呼吸衰竭得以缓解。据我们所知，成人因误吸异物导致主支气管急性阻塞此前尚未有过描述。我们认为硫糖铝片的特殊性质（快速膨胀和黏膜结合）是该患者发病的促成因素。
