Delesalle P H, Herbecq P, Vignozzi G, Babe M A, Lemaire C
Service des urgences, centre hospitalier de Roubaix, hôpital Victor-Provo, France.
Ann Fr Anesth Reanim. 1998;17(2):123-5. doi: 10.1016/s0750-7658(98)80059-2.
We report two cases of patients with chronic respiratory disease who experienced an asphyxia after aspirating a sucralfate tablet that occluded a lobar bronchus. In adults, a foreign body is a rare cause of acute respiratory failure from tracheobronchial occlusion. The sucralfate tablet has the physical property of expanding rapidly when wet (contact with mucosa). After aspiration, the tablet expands to a larger size and can occlude a lobar bronchus, causing acute respiratory failure. In patients at risk of aspiration, we recommend the use of sucralfate in liquid or suspension form.
我们报告了两例慢性呼吸道疾病患者，他们在误吸一片硫糖铝片后发生窒息，该硫糖铝片阻塞了一个肺叶支气管。在成年人中，异物是气管支气管阻塞导致急性呼吸衰竭的罕见原因。硫糖铝片具有遇湿（与黏膜接触）后迅速膨胀的物理特性。误吸后，药片膨胀至更大尺寸，可阻塞肺叶支气管，导致急性呼吸衰竭。对于有误吸风险的患者，我们建议使用液体或混悬液形式的硫糖铝。
