Tsunami lung
Tsunami lung
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DOI：
10.1007/s00540-011-1273-6
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发表时间：
2012-04-01
影响因子：
2.8
通讯作者：
Endo, Shigeatsu
中科院分区：
文献类型：
--
作者：
Inoue, Yoshihiro;Fujino, Yasuhisa;Endo, Shigeatsu
在东日本大地震后的大海啸中，我们遇到了三例溺水引起的肺部疾病。三人都是女子，其中两人是老者。三位病人的双肺均受累，需要入住重症监护室，并进行气管插管和机械通气。三人均在三周内死亡。在至少两例病例中，根据检测时注意到的特征怀疑误吞了油。痰液细菌培养分离出嗜麦芽窄食单胞菌、嗜肺军团菌、洋葱伯克霍尔德菌和铜绿假单胞菌。海啸肺的原因可能是化学性肺炎和细菌性肺炎的结合。
We encountered three cases of lung disorders caused by drowning in the recent large tsunami that struck following the Great East Japan Earthquake. All three were females, and two of them were old elderly. All segments of both lungs were involved in all the three patients, necessitating ICU admission and endotracheal intubation and mechanical ventilation. All three died within 3 weeks. In at least two cases, misswallowing of oil was suspected from the features noted at the time of the detection. Sputum culture for bacteria yielded isolation of Stenotrophomonas maltophilia, Legionella pneumophila, Burkholderia cepacia, and Pseudomonas aeruginosa. The cause of tsunami lung may be a combination of chemical induced pneumonia and bacterial pneumonia.