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首页> 外文期刊>Acute and critical care. >Massive Diffuse Alveolar Hemorrhage Caused by the Aspiration of Gastric Contents during Induction of Anesthesia in Patients with Adhesive Ileus: A Case Report
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Massive Diffuse Alveolar Hemorrhage Caused by the Aspiration of Gastric Contents during Induction of Anesthesia in Patients with Adhesive Ileus: A Case Report

机译：粘连性肠梗阻患者麻醉诱导中胃内容物吸入引起的弥漫性弥漫性肺泡出血：一例报告

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Aspiration pneumonitis is best defined as an acute lung injury, following the aspiration of regurgitated gastric contents. Major cause of pulmonary aspiration, during anesthesia, is gastric contents. Pulmonary aspiration can present symptoms of wheezing, coughing, dyspnea, cyanosis, pulmonary edema, hypotension, and hypoxemia, which may progress rapidly to severe acute respiratory distress syndrome (ARDS). However, there was no report of massive alveolar hemorrhage associated with aspiration pneumonitis. A 63-year-old man, who had undergone a total gastrectomy and received adjuvant chemotherapy, four months ago, was scheduled for adhesiolysis of the small bowel. The patient occurred aspiration of gastric contents, during induction of anesthesia, and subsequently, hypoxia developed during surgery. The patient moved to an intensive care unit (ICU), without extubation. Mechanical ventilation with PEEP was performed in an ICU. However, the patient died by ARDS and massive alveolar hemorrhage.
机译：吸入性肺炎最好定义为吸入反流的胃内容物后的急性肺损伤。麻醉期间肺部吸入的主要原因是胃内容物。肺误吸可表现出喘息，咳嗽，呼吸困难，发，肺水肿，低血压和低氧血症的症状，这些症状可能会迅速发展为严重的急性呼吸窘迫综合征（ARDS）。但是，尚无与吸入性肺炎相关的大量肺泡出血的报道。预定在四个月前接受全胃切除术并接受辅助化疗的63岁男子被安排进行小肠粘连溶解。患者在麻醉诱导过程中发生胃内容物抽吸，随后在手术过程中出现缺氧。病人移至重症监护病房（ICU），未拔管。在ICU中使用PEEP进行机械通气。然而，患者死于ARDS和大量肺泡出血。

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