A Case of Acute Respiratory Distress Syndrome Caused by Nitric Acid Inhalation / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
; : 690-695, 2005.
Artículo
en Coreano
| WPRIM (Pacífico Occidental)
| ID: wpr-31093
Biblioteca responsable:
WPRO
ABSTRACT
Nitric acid is an oxidizing agent used in metal refining and cleaning, electroplating, and other industrial applications. Its accidental spillage generates oxides of nitrogen, including nitric oxide (NO) and nitrogen dioxide (NO2), which cause chemical pneumonitis when inhaled. The clinical presentation of a nitric acid inhalation injury depends on the duration and intensity of exposure. In mild cases, there may be no symptoms during the first few hours after exposure, or the typical symptoms of pulmonary edema can appear within 3-24 hours. However, in cases of prolonged exposure, progressive pulmonary edema develops instantaneously and patients may not survive for more than 24 hours. We report a case of a 44-year-old male who was presented with acute respiratory distress syndrome after nitric acid inhalation. He complained of cough and dyspnea of a sudden onset after inhaling nitric acid fumes at his workplace over a four-hour period. He required endotracheal intubation and mechanical ventilation due to fulminant respiratory failure. He was managed successfully with mechanical ventilation using positive end expiratory pressure and systemic corticosteroids, and recovered fully without any deterioration in his pulmonary function.
Texto completo:
Disponible
Contexto en salud:
ODS3 - Meta 3.3 Poner fin a las enfermedades desatendidas y detener enfermedades transmisibles
Problema de salud:
Neumonía
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Óxidos
/
Neumonía
/
Edema Pulmonar
/
Respiración Artificial
/
Síndrome de Dificultad Respiratoria
/
Insuficiencia Respiratoria
/
Inhalación
/
Respiración con Presión Positiva
/
Corticoesteroides
/
Ácido Nítrico
Límite:
Adulto
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Tuberculosis and Respiratory Diseases
Año:
2005
Tipo del documento:
Artículo