Department of Intensive Care Medicine, Tongling People's Hospital, Anhui Province, P. R. China.
Medicine (Baltimore). 2024 Jan 19;103(3):e36995. doi: 10.1097/MD.0000000000036995.
Accidents involving chlorinated compounds in the context of cleaning are not uncommon. However, improving the treatment success rate for acute respiratory distress syndrome (ARDS) patients caused by chlorine gas presents significant challenges.
A 28-year-old female was admitted to the intensive care unit after accidental inhalation of chlorine gas resulting in ARDS.
The patient was diagnosed with ARDS attributed to chlorine gas exposure.
The intervention involved utilizing a combination of awake self-prone positioning (ASPP) and high-flow nasal oxygen therapy for treatment.
After continuous ASPP and high-flow nasal oxygen therapy, the patient quickly recovered and was transferred out of the intensive care unit on the 6th day without any adverse events.
ASPP combined with high-flow nasal oxygen therapy can improve patients' hypoxemia, prevent the need for intubation, avoid rapid deterioration of the condition, reduce treatment complexity, and lower mortality rate.
在清洁过程中涉及含氯化合物的事故并不少见。然而，提高氯气引起的急性呼吸窘迫综合征（ARDS）患者的治疗成功率存在很大挑战。
一名 28 岁女性因意外吸入氯气导致 ARDS 后被收入重症监护病房。
患者被诊断为氯气暴露引起的 ARDS。
该患者接受了清醒俯卧位通气（ASPP）和高流量鼻氧疗联合治疗。
经过持续的 ASPP 和高流量鼻氧疗，患者迅速康复，并在第 6 天转入普通病房，无任何不良事件发生。
ASPP 联合高流量鼻氧疗可改善患者低氧血症，避免插管需求，防止病情迅速恶化，降低治疗复杂性，并降低死亡率。
