百草枯中毒所致严重间质性肺炎放疗后的恢复情况。

Recovery after radiotherapy from severe interstitial pneumonia due to paraquat poisoning.

作者信息

Shirahama M, Sakemi T, Osato S, Sanai T, Rikitake O, Wada S

机构信息

Department of Internal Medicine, Saga Medical School, Japan.

出版信息

Jpn J Med. 1987 Aug;26(3):385-7. doi: 10.2169/internalmedicine1962.26.385.

DOI:10.2169/internalmedicine1962.26.385

PMID:3694922

Abstract

A 51-year-old man was admitted 3 hours after ingesting approximately 50 ml of mixture of paraquat and organophosphate insecticide. His arterial oxygen pressure fell progressively to 44.6 mmHg. Diagnosed was paraquat-induced interstitial pneumonia. No improvement was observed after treatment with corticosteroid. The pneumonia, however, resolved after irradiation of both lungs and arterial oxygen pressure showed marked improvement. Radiotherapy to the lungs should be considered only in patients who showed progressive deterioration of respiratory function.

摘要

一名51岁男性在摄入约50毫升百草枯和有机磷杀虫剂混合物3小时后入院。他的动脉血氧分压逐渐降至44.6毫米汞柱。诊断为百草枯诱导的间质性肺炎。使用皮质类固醇治疗后未见改善。然而，双肺照射后肺炎消退，动脉血氧分压显著改善。仅对呼吸功能进行性恶化的患者应考虑肺部放疗。