Shin Hong-Joon, Chang Jin-Sun, Ahn Seong, Kim Tae-Ok, Park Cheol-Kyu, Lim Jung-Hwan, Oh In-Jae, Kim Yu-Il, Lim Sung-Chul, Kim Young-Chul, Kwon Yong-Soo
Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
J Thorac Dis. 2017 Jan;9(1):E17-E20. doi: 10.21037/jtd.2017.01.45.
Chlorine-containing bleach can cause acute respiratory distress syndrome (ARDS) and chemical burns. However, simultaneous occurrence of the two conditions caused by this agent is very rare. We describe the case of a 74-year-old female who presented with shortness of breath and hemoptysis following accidental exposure to chlorine-containing bleach. She had second- to third-degree chemical burns on both buttocks and thighs, and received mechanical ventilation because of the development of ARDS. Mechanical ventilation was discontinued on day 6 of hospitalization because of the rapid improvement of hypoxemia, and the patient was transferred to another hospital for further management of the chemical burns on day 18.
含氯漂白剂可导致急性呼吸窘迫综合征(ARDS)和化学灼伤。然而,由该制剂同时引发这两种情况的情况非常罕见。我们描述了一名74岁女性的病例,她在意外接触含氯漂白剂后出现呼吸急促和咯血。她的双臀和大腿有二度至三度化学灼伤,并因ARDS的发展而接受了机械通气。由于低氧血症迅速改善,在住院第6天停止了机械通气,患者于第18天转至另一家医院进一步处理化学灼伤。