Clinical case of the development of lipoid pneumonia due to diesel fuel poisoning
- 作者: Smirnov A.N.1, Mikhailov A.A.1, Velibekov R.T.1, Shevchenko A.A.1, Bugorskii I.B.2
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隶属关系:
- S.M. Kirov Military Medical Academy, Ministry of Defense of Russia
- Branch No. 2 of the Federal State Budgetary Institution “419 Military Hospital”, Ministry of Defense of Russia
- 期: 卷 35, 编号 11 (2024)
- 页面: 66-70
- 栏目: From Practice
- URL: https://journals.eco-vector.com/0236-3054/article/view/642522
- DOI: https://doi.org/10.29296/25877305-2024-11-14
- ID: 642522
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详细
Treatment of severe pneumonia, including lipoid pneumonia (with the addition of a bacterial infection), is an urgent health problem and requires adherence to an algorithm of clinical and diagnostic measures to ensure adequate treatment tactics. Late admission to the intensive care unit for severe community-acquired pneumonia has been associated with high mortality rates.
A clinical case is presented of a patient who received diesel fuel poisoning as a result of violation of safety requirements when working with technical fluids. Indicators of blood gas composition during the development of respiratory failure are presented, as well as options for the development of complications in the form of parapneumonic pleurisy, severe bilateral polysegmental pneumonia with areas of tissue destruction and the formation of pneumofibrosis. Complex antibacterial, detoxification, mucolytic, analgesic, gastroprotective oxygen therapy and insulin therapy were carried out. Timely comprehensive treatment allowed us to achieve a favorable outcome.
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作者简介
A. Smirnov
S.M. Kirov Military Medical Academy, Ministry of Defense of Russia
编辑信件的主要联系方式.
Email: sandstorm9@mail.ru
ORCID iD: 0000-0001-7596-6772
俄罗斯联邦, Saint Petersburg
A. Mikhailov
S.M. Kirov Military Medical Academy, Ministry of Defense of Russia
Email: sandstorm9@mail.ru
ORCID iD: 0000-0001-5656-2764
俄罗斯联邦, Saint Petersburg
R. Velibekov
S.M. Kirov Military Medical Academy, Ministry of Defense of Russia
Email: sandstorm9@mail.ru
俄罗斯联邦, Saint Petersburg
A. Shevchenko
S.M. Kirov Military Medical Academy, Ministry of Defense of Russia
Email: sandstorm9@mail.ru
ORCID iD: 0000-0002-7658-8766
俄罗斯联邦, Saint Petersburg
I. Bugorskii
Branch No. 2 of the Federal State Budgetary Institution “419 Military Hospital”,Ministry of Defense of Russia
Email: sandstorm9@mail.ru
ORCID iD: 0009-0009-0149-2733
俄罗斯联邦, Novorossiysk
参考
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