Goetting A T, Carson J, Burton B T
Department of Emergency Medicine, Oregon Health Sciences University, Portland 97201-3098.
J Occup Med. 1992 Aug;34(8):775-8. doi: 10.1097/00043764-199208000-00010.
During a 6-month period, the poison center was consulted on three occasions for advice regarding accidental injection of hexafluorethane (Freon) used in the manufacturing process of athletic shoes. A fourth case was later identified after consulting physicians near the manufacturing facility. Little information exists in the medical literature concerning injection of freon or other volatile substances. In each of these cases, workers inadvertently injected concentrated hexafluorethane into a finger while holding the shoe component and attempting to inject hexafluorethane. Each case presented with edema, limitation of motion, and crepitation. Hand roentgenogram revealed subcutaneous gas. Treatment was nonsurgical, consisting of splinting, tetanus immunization, and antibiotics. Rapid resolution of symptoms occurred in all four cases. Hexafluorethane is relatively inert when injected and has low toxicity. However, potential rapid expansion warrants observation for pressure injury.
在6个月期间，就运动鞋制造过程中意外注射六氟乙烷（氟利昂）的问题，中毒控制中心接到了三次咨询。后来，在咨询了制造工厂附近的医生后，又发现了第四起病例。医学文献中关于氟利昂或其他挥发性物质注射的信息很少。在这些病例中，每一例都是工人在拿着鞋部件并试图注射六氟乙烷时，不小心将浓缩的六氟乙烷注射到手指中。每例病例均表现为水肿、活动受限和捻发音。手部X线片显示皮下有气体。治疗采用非手术方法，包括夹板固定、破伤风免疫接种和使用抗生素。所有四例病例的症状均迅速缓解。六氟乙烷注射后相对惰性，毒性较低。然而，其潜在的快速膨胀需要观察是否有压力性损伤。
