Ishimoto Hiroshi, Yatera Kazuhiro, Oda Keishi, Kawanami Toshinori, Soda Hiroshi, Kohno Shigeru, Mukae Hiroshi
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan.
J UOEH. 2014 Jun 1;36(2):147-52. doi: 10.7888/juoeh.36.147.
Two cases of acute respiratory distress syndrome related to zinc fume inhalation and zinc powder inhalation are presented. Case 1 demonstrated acute respiratory symptoms during the work of distortion correction of iron boards, coated with a rust preventative including rich zinc using an acetylene gas burner. Case 2 occurred after the work of applying a rust preventative that included zinc powder, mainly using an airless compressor. Since both were working in a boathouse, without using protective equipment, the possible causes of Case 1 and 2 were inhalation exposure to zinc fumes and zinc powder, respectively. The two patients showed similar clinical courses, including favorable treatment outcomes, mimicking acute respiratory failure complicated by a metal fume fever.
本文报告了两例与吸入锌烟和锌粉有关的急性呼吸窘迫综合征病例。病例1在使用乙炔气焊枪对涂有含大量锌的防锈剂的铁板进行矫正作业时出现急性呼吸道症状。病例2在主要使用无气喷涂机涂抹含锌粉的防锈剂作业后发病。由于两人均在船库工作且未使用防护设备，病例1和病例2的可能病因分别为吸入锌烟和锌粉。两名患者表现出相似的临床病程，包括良好的治疗效果，类似于并发金属烟热的急性呼吸衰竭。
