Báo cáo y học: " Delayed diagnosis of tooth aspiration in three multiple trauma patients with mechanical ventilation"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Delayed diagnosis of tooth aspiration in three multiple trauma patients with mechanical ventilation. | Zhang et al. Critical Care 2011 15 424 http content 15 3 424 CRITICAL CARE LETTER L_ Delayed diagnosis of tooth aspiration in three multiple trauma patients with mechanical ventilation Mao Zhang1 Guang-Ju Zhou 1 Song Zhao2 Jian-Xin Yang1 Xiao Lu1 Jian-Xin Gan1 and Shao-Wen Xu1 Tooth aspiration is a critical and rare complication in trauma patients. It can remain undetected and misdiagnosed. Here we present three mechanically ventilated multiple trauma cases with delayed diagnosis of bronchial tooth aspiration. Case 1 A 23-year-old man was severely injured in a car accident and had multiple trauma with an injury severity score ISS of 50 and a head abbreviated injury score AIS of 5. Three days later he was transferred to our hospital and chest CT showed a tooth-like foreign body in the right bronchial tree which was confirmed to be a bicuspid W- according to the Palmer notation method by flexible bronchoscopy. As the tooth was psilate and firmly embedded many attempts with either flexible or rigid bronchoscopy could not extract it. The patient died of sepsis 70 days after the accident. Case 2 A 26-year-old man was presented to a local hospital with multiple trauma ISS 54 head AIS 5 following a motorcycle accident. On the next day when he was transferred to our hospital a chest film and fibreoptic bronchoscopy confirmed a lateral incisor 2 in the left lobe. We failed to extract the tooth but fortunately it was expectorated via the tracheotomy tube following a vigorous cough on day 12. Case 3 A 25-year-old man was presented with multiple trauma ISS 41 head AIS 4 after a motorcycle accident. He was transferred to our hospital 9 hours later. Chest CT and flexible bronchoscopy confirmed a central incisor 1 in Correspondence zhoutom1978@ department of Emergency Medicine Second Affiliated Hospital Zhejiang University School of Medicine Research Institute of Emergency Medicine Zhejiang University Hangzhou 310009 China Full list of author .

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131    7    1    28-03-2024
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