关键词: bronchial foreign body case report computed tomography elderly magnesium oxide mixing test

Mesh : Female Humans Aged Aged, 80 and over Magnesium Oxide Bronchoscopy Bronchi / diagnostic imaging Bronchial Diseases / complications Foreign Bodies / complications diagnostic imaging surgery

来  源:   DOI:10.2169/internalmedicine.1618-23   PDF(Pubmed)

Abstract:
As cases of magnesium oxide pill aspiration are rare, the associated airway proinflammatory properties and appropriate analytic strategies remain unclear. An 81-year-old woman presenting with dyspnea was diagnosed with magnesium oxide pill aspiration. Computed tomography, a \"mixing test\" with levodopa, and a magnesium content analysis revealed a similar density between the foreign body and her prescribed magnesium oxide pill. The patient recovered without airway complications after foreign body removal. Clinicians should be aware of magnesium oxide tablets as potential bronchial foreign bodies in elderly patients because they may not dissolve without exposure to gastric juices.
摘要:
由于氧化镁丸吸入的病例很少见,相关的气道促炎特性和适当的分析策略仍不清楚.一名出现呼吸困难的81岁女性被诊断为氧化镁丸吸入。计算机断层扫描,用左旋多巴进行“混合试验”,镁含量分析显示异物和她开的氧化镁丸的密度相似。患者在取出异物后恢复无气道并发症。临床医生应该意识到氧化镁片剂是老年患者潜在的支气管异物,因为它们在不暴露于胃液的情况下可能不会溶解。
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