Abstract | OBJECTIVE: METHOD: RESULT: All patients with mineral oil aspiration pneumonia had a history of mineral oil administration.Four patients had no clinical manifestations. Ten cases presented fever, and 8 of the 10 patients had fever in 4-8 h after taking mineral oil, and the temperature was between 39-40 °C. There were wheezing in 2 cases, shortness of breath in 6 cases, cyanosis in 1 case, dyspnea in 3 cases, and moaning in 2 cases, chest pain in 1 case, headache and abnormal EEG in 1 case.Six patients had rales in lungs. Peripheral blood white cells increased in 10 cases, and C- reactive protein elevated in 7 patients. Chest CT examination showed abnormal findings in 6 children, and the earliest CT was performed within 2 h after the accident. The rest 10 children got chest X-ray, and 9 of 10 children had abnormal findings. The earliest X-ray was done within 3 h after the accident. And the remaining 1 of 10 children showed no significant changes in the first chest X-ray 2-3 h after the accident until 3 days. All of the patients received corticosteroid and antibiotic treatments, 4 cases underwent bronchoalveolar lavage, 3 patients were given albumin, 6 cases received intravenous immunoglobulin. Three cases delayed in treatment with hormone because of misdiagnosis, and 2 of them had clearly secondary infections. Twelve patients recovered completely from oil aspiration pneumonia after 8 days to 5.5 months. CONCLUSION:
|
Authors | Lisha Ge, Sihu Chen, Miaomiao Lin, Xiaojiao Xia, Yimei Jin, Shijun He |
Journal | Zhonghua er ke za zhi = Chinese journal of pediatrics
(Zhonghua Er Ke Za Zhi)
Vol. 52
Issue 3
Pg. 205-8
(Mar 2014)
ISSN: 0578-1310 [Print] China |
PMID | 24824391
(Publication Type: Journal Article)
|
Chemical References |
- Anti-Bacterial Agents
- Glucocorticoids
- Mineral Oil
- C-Reactive Protein
|
Topics |
- Anti-Bacterial Agents
(therapeutic use)
- C-Reactive Protein
(analysis)
- Child, Preschool
- Diagnosis, Differential
- Female
- Fever
(diagnosis, drug therapy)
- Glucocorticoids
(therapeutic use)
- Humans
- Infant
- Lung
(diagnostic imaging, pathology)
- Male
- Mineral Oil
(adverse effects)
- Pneumonia, Lipid
(diagnosis, drug therapy, etiology)
- Radiography, Thoracic
- Retrospective Studies
- Tomography, X-Ray Computed
|