致命的铁片吸收:早期诊断和法医病理学家意识的重要性
Yvonne Hojberg1, Mahmuod Abdeljaber2, Yvonne Milewski3
1From the Department of Pathology, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI.
The American journal of forensic medicine and pathology
|March 13, 2024
概括
吸入铁片可以导致严重的肺损伤和死亡,即使没有吞问题. 及时诊断至关重要,以防止药丸吸收导致的致命结果.
科学领域:
- 医学 医学 医学 医学 医学
- 病理学 病理学 病理学
- 肺部病理学 肺部病理学
背景情况:
- 药丸吸收是美国异物吸收的常见原因之一.
- 吸入铁片带有很高的风险,因为有毒烧伤和组织损伤.
- 延迟诊断显著增加了发病率和死亡率.
研究的目的:
- 为了呈现一种致命的铁片吸收病例.
- 强调药丸吸收病例及时诊断的重要性.
- 突出法医病理学在识别延迟并发症中的作用.
主要方法:
- 案例报告的呈现方式.
- 解剖结果分析. 解剖结果分析.
- 对临床表现和诊断挑战的审查.
主要成果:
- 一名中年肥胖妇女在吸收铁片后3周死亡.
- 尸检显示肺部亡,颗粒组织有异物,以及血管干扰.
- 病人只有在死后才得到准确的诊断,尽管他两次寻求医疗护理.
结论:
- 准确和及时诊断药丸吸收对于预防致命结果至关重要.
- 临床医生必须保持在患有持续呼吸道症状的患者中对异物吸入的高度怀疑指数.
- 法医病理学家应该考虑致命的药丸吸收并发症在最初事件发生后的几天.
相关概念视频
01:30Serum Laboratory Studies, Stool Test, Breath Test
343
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
343
01:26Endoscopic Studies II: Thoracocentesis
258
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
258
01:13Radiological Investigation III: Pulmonary Angiogram and PET Scan
92
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
92