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首页> 美国卫生研究院文献>International Journal of General Medicine >Nasal packing aspiration in a patient with Alzheimer’sdisease: a rare complication
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Nasal packing aspiration in a patient with Alzheimer’sdisease: a rare complication

机译：老年痴呆症患者的鼻腔填充术疾病：一种罕见的并发症

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摘要

Nasal bleeding is a frequent problem for patients receiving anticoagulant agents. Most cases are successfully managed with anterior or posterior nasal packing. However, the complications of nasal packing should be always considered. We report the case of a 78-year-old man with Alzheimer’s disease who was treated for anterior epistaxis with anterior nasal packing using three pieces of antibiotic-soaked gauze. Two days later, the patient was admitted to the emergency department in respiratory distress. A chest x-ray demonstrated atelectasis of the right lung. During an examination of the nasal cavities, the nasal packing was removed, and one of the gauze pieces was missing. The patient underwent rigid bronchoscopy, and the missing gauze was found to be obstructing the right main bronchus. The patient’s respiratory function improved considerably after removal of the foreign body. It is assumed that gauze packs should be used with caution in patients with an impaired level of consciousness and neurodegenerative diseases.
机译：鼻出血是接受抗凝剂治疗的患者的常见问题。大多数情况下都可以通过前鼻后填充治疗。但是，应始终考虑鼻填充的并发症。我们报道了一例78岁的阿尔茨海默氏病患者，该患者使用三片抗生素浸泡过的纱布通过鼻前部充填治疗了前鼻epi。两天后，该患者因呼吸窘迫而被送往急诊科。胸部X光检查显示右肺不张。在检查鼻腔时，去除了鼻腔填充物，并且丢失了一块纱布。该患者接受了硬性支气管镜检查，发现缺少的纱布阻塞了右主支气管。去除异物后，患者的呼吸功能显着改善。假定意识水平和神经退行性疾病受损的患者应谨慎使用纱布袋。

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