Accidental aspiration of a solid tablet of sodium hypochlorite
Accidental aspiration of a solid tablet of sodium hypochlorite
复制标题
意外吸入次氯酸钠固体片剂
DOI：
10.1136/bcr-2018-224213
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发表时间：
2018
期刊：
影响因子：
0.9
通讯作者：
C. Fehlmann
中科院分区：
文献类型：
--
作者：
Caroline Boonekamp;François Voruz;C. Fehlmann
次氯酸钠是一种腐蚀性强的碱性（pka=7.52）家用产品。次氯酸钠液体的摄入是常见的，显示对食道和胃的毒性。然而，次氯酸钠在颗粒中摄入的情况很少见，其管理方法也不清楚。我们报告的情况下，一个65岁的男子谁不小心吞下漂白片3.5克。6小时后，患者出现与IV期呼吸困难相关的失音，激发鼻纤维镜检查，显示声门和声门上坏死和水肿，患者接受静脉类固醇，插管，然后进行气管切开术。气管切开术2周后，局部进展良好，允许取出插管并返回家中。
Sodium hypochlorite is a corrosive, highly alkaline (pka=7.52) household product. Ingestion of sodium hypochlorite liquid is common, showing toxicity on the oesophagus and stomach. Nevertheless, cases of sodium hypochlorite ingestions in pellet are rare and the management of them is unknown. We report the case of a 65-year-old man who accidentally swallowed a bleach tablet of 3.5 g. Six hours later, the patient developed an aphonia associated with dysponea stage IV, motivating a nasofibroscopy showing glottis and supraglottic necrosis and oedema for which the patient received intravenous steroids, was intubated and then underwent a tracheotomy. After 2 weeks under tracheotomy, local evolution was favourable allowing a removal of the cannula and a return back home.