A Case of Acute Respiratory Distress Syndrome Caused by Nitric Acid Inhalation / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
; : 690-695, 2005.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-31093
Biblioteca responsável:
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:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
Problema de saúde:
Pneumonía
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Óxidos
/
Pneumonia
/
Edema Pulmonar
/
Respiração Artificial
/
Síndrome do Desconforto Respiratório
/
Insuficiência Respiratória
/
Inalação
/
Respiração com Pressão Positiva
/
Corticosteroides
/
Ácido Nítrico
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Tuberculosis and Respiratory Diseases
Ano de publicação:
2005
Tipo de documento:
Artigo