Epperly N A, Still J T, Law E, Deppe S A, Friedman B
Burn Center, Columbia Augusta Regional Medical Center, Georgia, USA.
Am Surg. 1997 Nov;63(11):979-81.
A 46-year-old white female with underlying interstitial lung disease and asthma was driving a pickup truck when it was struck broadside. The airbag inflated and then ruptured, forcing inhalation of its contents. This produced facial desquamation, productive cough, wheezing, and headache. Chest radiograph showed bilateral interstitial fibrosis. Pulmonary function tests demonstrated small airway obstruction, hyperinflation, and impaired diffusion. Computerized tomography showed extensive sinusitis. She improved following treatment with inhaled steroids, bronchodilators, and oral antibiotics. Inhalation of the airbag contents produced supraglottic and subglottic airway inflammation, resulting in sinusitis and exacerbation of her underlying asthma.
一名46岁患有间质性肺病和哮喘的白人女性驾驶皮卡车时,被一辆从侧面撞上的车撞击。安全气囊弹出后破裂,致使她吸入了气囊中的物质。这导致了面部脱皮、咳痰、喘息和头痛。胸部X光片显示双侧间质性纤维化。肺功能测试表明存在小气道阻塞、肺过度充气和弥散功能受损。计算机断层扫描显示广泛的鼻窦炎。经吸入类固醇、支气管扩张剂和口服抗生素治疗后,她的病情有所改善。吸入安全气囊中的物质引发了声门上和声门下气道炎症,导致鼻窦炎并加重了她原有的哮喘病情。