Imler Dan, Martel Elena
Department of Pediatric Emergency Medicine Pediatric Hospital Medicine Stanford University School of Medicine Palo Alto California USA.
Department of Emergency Medicine Stanford University School of Medicine Palo Alto California USA.
J Am Coll Emerg Physicians Open. 2023 Mar 13;4(2):e12928. doi: 10.1002/emp2.12928. eCollection 2023 Apr.
An otherwise healthy 16-year-old male presented to the pediatric emergency department 12 hours after accidental inhalation of 4-nitrophenyl chloroformate in a chemistry lab. His only pertinent findings were a complaint of chest tightness and decreased breath sounds on a pulmonary exam. He was found on chest radiograph to have a large right-sided pneumothorax with slight mediastinal shift and mild interstitial prominence. A chest tube was placed, and he recovered well. This case demonstrates pneumothorax as a possible complication of inhalation of caustic chemical substances and emphasizes the importance of thorough history-taking and clinical examination.
一名原本健康的16岁男性在化学实验室意外吸入氯甲酸对硝基苯酯12小时后被送往儿科急诊科。他唯一相关的检查结果是主诉胸闷，肺部检查时呼吸音减弱。胸部X光片显示他右侧有一个大的气胸，伴有轻微的纵隔移位和轻度间质突出。放置了胸管，他恢复良好。该病例表明气胸是吸入腐蚀性化学物质可能出现的并发症，并强调了详细询问病史和进行临床检查的重要性。
