수은 증기에 의한 급성 폐손상 1예
A Case of Acute Lung Injury due to Mercury Vapor Inhalation
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초록
다른 기저질환이 없는 환자에서 원인 미상의 급성 폐손상이 발생할 경우 신체 진찰뿐만 아니라 철저한 병력 청취가중요하다. 저자들은 급성 폐손상으로 내원한 환자에게 원인규명을 위한 검사에서 수은 중독으로 판단하고 적절한 치료를 통하여 호전된 것을 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Mercury is traditionally used as a dye for making amulets in Korea. Inhaling the vapor produced by burning mercury damages major organs, such as the lungs, kidneys, and brain. We herein present a case of a 41-year-old man who complained of abdominal pain and dyspnea. A chest X-ray and computed tomography scan showed infiltration in both upper lung lobes. A thorough medical history revealed that the patient had made amulets prior to developing symptoms, and blood and urine tests confirmed elevated levels of mercury. Dimercaptosuccinic acid was used to chelate the mercury, and methylprednisolone was used to treat the acute lung injury. No kidney or nervous system complications were detected during follow-up. Inhalation of mercury vapor should be suspected in patients with acute lung injury involving both upper lobes.
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