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一种罕见的弥漫性肺出血病因。

A rare etiology of diffuse pulmonary hemorrhage.

机构信息

Department of Forensic Medicine, Jessenius Faculty of Medicine, Comenius University, University Hospital, Martin, Slovakia.

Department of Forensic Medicine, Faculty of Medicine, Charles University and University Hospital, Hradec Kralove, Czech Republic.

出版信息

Adv Respir Med. 2021;89(2):223-224. doi: 10.5603/ARM.a2020.0194. Epub 2021 Feb 9.

DOI:10.5603/ARM.a2020.0194
PMID:33559121
Abstract

We describe the case of a 36-year-old male who presented to hospital with acute respiratory distress, and hemoptysis after intravenously injecting 20 milliliters of pure gasoline. Despite maximum supportive care he died without a definitive diagnosis 4 hours after presentation to the hospital. Postmortem examination confirmed diffuse pulmonary hemorrhage as a cause of death. Our case highlights the key clinical, and pathological features of this very rare poisoning with a volatile substance and reminds clinicians to consider it as a potential cause of hemoptysis and pulmonary hemorrhage.

摘要

我们描述了一例 36 岁男性病例,该患者因静脉注射 20 毫升纯汽油后出现急性呼吸窘迫和咯血,尽管给予了最大的支持治疗,但在入院后 4 小时仍未明确诊断而死亡。尸检证实弥漫性肺出血是死亡的原因。我们的病例突出了这种非常罕见的挥发性物质中毒的关键临床和病理特征,并提醒临床医生将其视为咯血和肺出血的潜在原因。

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