A Survival Case Sustained Pulmonary Damage After Paraquat Ingestion / 대한산업의학회지
Korean Journal of Occupational and Environmental Medicine
;
: 223-227, 1996.
Article
in Korean
| WPRIM
| ID: wpr-131371
ABSTRACT
The rapid quantification of paraquat in body fluids is of undoubted value in both initial assesment as well as the immediate prognosis of acutely poisoned patients. A 20-year-old woman ingested a mouthful of paraquat. Serum and urine paraquat levels were measured colorimetrically for 48 hours after identifying the presence of paraquat in her urine by a Paraquat test kit. At that time her survivability was considerd to be over 50% according to Proudfoot's scale of time related measured serum paraquat levels. Five days after admission, she began to cough but her chest x-ray picture was normal. However, she persisted to cough and subsequent chest x-rays showed fine reticulonodular densities in both upper and lower lobes. Twenty days after admission, she .was clinically well, and not deteriorated radiologically. Therefore, respiratory function tests were under-taken. They showed reduced lung volume, moderate reduction in ventilatory capacity, and a diffusion defect (DLco 27% predicted value). Twenty four days after admission, the patient was discharged in good condition except for the sequale of lung involvement. Six months later, she was re-examined and found to be healthy with a large regression of lung lesions on her chest x-ray.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paraquat
/
Prognosis
/
Respiratory Function Tests
/
Thorax
/
Body Fluids
/
Equidae
/
Cough
/
Diffusion
/
Eating
/
Lung
Type of study:
Prognostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Occupational and Environmental Medicine
Year:
1996
Type:
Article
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