Abstract
A 78 year old male case conplainting of fever, general malaise and severe dyspnea was diagnosed as aspiration pneumonia, Mendelson's syndrome. He was in extremely poor condition, and arterial blood gas analysis revealed that his PaO2 was 24.4mmHg. Mechanical ventilation combined with 5 to 10cmH2O PEEP using a Bennett Ma-1 type respirator was performed.
We successfully treated the patient with high doses of glucocorticoid and antibiotics and also performed trans-bronchial lung biopsy via the fiberoptic bronchoscope before and after complete recovery. The clinical and pathological findings in this case were discussed and the literature was also reviewed.