Résumé
OBJECTIVES: To compare the results respectively obtained from the utilization of 60% barium sulfate suspension and Iohexol as contrast agents for videofluoroscopic swallowing studies and the relationship between the clinical application of the two kinds of contrast agents and the incidence of pneumonia. METHODS: Sixty cases of stroke patients with dysphagia were selected in rehabilitation department of our hospital, and the gender, age, position of the disease, and stroke nature between groups had no significant difference. Among which, 30 patients who were administered 350 mgI/ml Iohexol, and the other 30 patients with 60% barium sulfate suspension as contrast agent. We performed videofluoroscopic swallowing studies with barium 60% versus Iohexol within 1 week after admission and 2 weeks after admission. RESULTS: After 2 weeks in hospital, the aspiration pneumonia incidence of two groups was statistically significant (p<0.05), the pneumonia incidence of Iohexol group was lower than barium sulfate group which might have a impossble relevance with barium aspiration. CONCLUSIONS: During the videofluoroscopic swallowing study of dysphagia after stroke, barium sulfate can enhance the pneumonia incidence, and Iohexol can be widely applied in videofluoroscopic swallowing study.
Sujets)
Humains , Mâle , Femelle , Adulte , Adulte d'âge moyen , Sujet âgé , Pneumopathie de déglutition/induit chimiquement , Sulfate de baryum/effets indésirables , Radioscopie/méthodes , Troubles de la déglutition/imagerie diagnostique , Produits de contraste/effets indésirables , Pneumopathie de déglutition/diagnostic , Sulfate de baryum/administration et posologie , Enregistrement sur magnétoscope/méthodes , Iohexol/administration et posologie , Iohexol/effets indésirables , Troubles de la déglutition/complications , Produits de contraste/administration et posologie , Déglutition/effets des médicaments et des substances chimiques , Réadaptation après un accident vasculaire cérébral/méthodesRésumé
To evaluate the outcome of patients with organophosphorus poisoning. Descriptive [non-interventional] study. Surgical Intensive Care Unit, Civil Hospital Karachi, from January 1996 to December 2002. Medical records of all the patients with organophosphorus poisoning, admitted during the study period, were reviewed. Their clinical features, complications, management and survival were noted. Out of 52 patients, admitted to surgical intensive care unit during the study period, 92.31% survived and were discharged to medical wards. Major cause of mortality [7.69%] was acute respiratory distress syndrome. The common cause of mortality in organophosphorus poisoning is aspiration pneumonia leading to acute respiratory distress syndrome that is preventable by securing the airway early in emergency room
Sujets)
Humains , Mâle , Femelle , Unités de soins intensifs , Tentative de suicide , Pneumopathie de déglutition/induit chimiquement , , Prise en charge de la maladieRésumé
In our country, siphoning of diesel/petrol from fuel tanks is a common practice. We describe a 50-year-old farmer, who accidentally aspirated fuel while siphoning from his tractor. A diagnosis of diesel induced aspiration pneumonitis was confirmed by the presence of foam cells on bronchial biopsy. The patient showed gradual recovery with the symptomatic therapy. However two weeks later, he developed sudden chest pain and irregularly irregular pulse that proved fatal. Diesel aspiration leading to bilateral pneumonitis is yet to be reported in our country.