가솔린 흡인에 의한 화학성 폐장염 1예
A case of pneumonitis induced by gasoline intoxication
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
저자들은 가솔린을 복용한 후 발생한 흉부불편감과 호흡곤란으로 내원한 20세의 남자 환자에서 방사선사진상 흡인성 폐렴의 소견이 뚜렷하고 기관지 세척액에서 육안적 혈성소견을 보였으며 군용 가솔린을 흡인함으로써 세균성감염의 기회가 높다고 판단되어 화학성 폐장염 진단 후 항생제와 스테로이드 사용하였고, 큰 합병증 없이 회복된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Hydrocarbons are a broad group of organic bodies consisting of hydrogen and carbon. They are commonly found in the environment in the form of gasoline (e.g., butane and propane) and are also used in stain removers, adhesives, lubricants, and a variety of paints. Ingestion of the compound accounts for approximately 3% of all poisoning cases in the United States, but such reports of poisoning are rare in Korea. Hydrocarbon poisoning has many adverse effects. In addition to potentially causing major damage to the respiratory and central nervous systems, direct exposure to hydrocarbons can also cause cardiac arrhythmia, hepatic dysfunction, renal failure, neuropathy, and other injuries. We present the case of a 20-year-old soldier who accidentally ingested a small amount of gasoline. He developed chemical pneumonitis, but recovered with no serious complications.
참고문헌 (14)
- Wax PM, "Hydrocarbons and volatile substance. In Emergency medicine: a comprehensive study guide. 5th ed", pp.1162~1168 (2000), McGraw Hill
- Parrga M, "Hydrocarbons. In Emergency toxicology. 2nd ed", pp.299~313 (1998), Lippincott-Raven
- Baldachin BJ, "Clinical and therapeutic aspects of kerosene poisoning: a series of 200 cases", Br Med J, 2, pp.28~30 (1964)
- Gerarde HW, "Toxicological studies on hydrocarbons: V. kerosene", Toxicol Appl Pharmacol, 1, pp.462~474 (1959)
- Wolfe BM, "The role of gastrointestinal absorption of kerosene in producing pneumonitis in dogs", J Pediatr, 76, pp.867~873 (1970)
- Eade NR, "Hydrocarbon pneumonitis", Pediatrics, 54, pp.351~357 (1974)
- Lee KW, "Two cases of hydrocarbon (gasoline) intoxication following ingestion and inhalation", J Korean Soc Emerg Med, 12, pp.551~559 (2001)
- Kim DH, "A case of chemical pneumonitis induced by hydrocarbon ingestion", Korean J Med, 61, pp.53~58 (2001)
- Arthurs GJ, "Poisoning by cresol", anaesthesia, 32, pp.642~643 (1977)
- Anas N, "Criteria for hospitalizing children who have ingested products containing hydrocarbons", JAMA, 246, pp.840~843 (1981)
- Ellnhorn MJ, "Ellenhorn’s medcal toxicology: diagnosis and treatment of human poisoning. 2nd ed", pp.1204~ (1997), Williams and Wilkins
- Marks M, "Adrenocorticosteroid treatment of hydrocarbon pneumonia in children: a cooperative study", J Pediatr, 81, pp.366~369 (1972)
- Wolfsdorf J, "Dexamethasone in the management of kerosene pneumonia", Pediatrics, 53, pp.86~90 (1974)
- Han YC, "Textbook of Pulmonary Medicine", pp.128~129 (1997), Iljokack