Pham Dung Thai, Dao Bang Ngoc, Nguyen Dung Tien, Van Dang Ba, Le Dung Tien, Do Hung Manh, Hoang Loc Tich, Ngo Minh Tuan, Vu Duong Minh
Intensive Care, Emergency and Poison Control Center, Military Hospital 103, Vietnam Military Medical University, Viet Nam.
Respiratory Center, Military Hospital 103, Vietnam Military Medical University, Viet Nam.
Respir Med Case Rep. 2024 Dec 6;53:102148. doi: 10.1016/j.rmcr.2024.102148. eCollection 2025.
Acute respiratory distress syndrome (ARDS) secondary to chlorine gas inhalation is a rare yet critical condition that can lead to severe respiratory failure if not managed promptly. This case report presents a 43-year-old male who developed ARDS after accidental exposure to chlorine gas during pool maintenance. The patient's condition deteriorated rapidly, with symptoms progressing to acute pulmonary edema and severe hypoxemia, requiring immediate transfer to the intensive care unit (ICU). Initial treatment included non-invasive ventilation, but the patient soon required tracheal intubation and mechanical ventilation. Despite the rapid disease progression, the patient responded well to aggressive ICU management, including oxygen therapy, mechanical ventilation, and pharmacological support. Remarkably, within seven days, the patient fully recovered and was discharged in stable condition. This case highlights the potential for a good prognosis in ARDS due to chlorine gas inhalation compared to other etiologies, emphasizing the importance of timely intervention and specialized care in the ICU.
氯气吸入继发的急性呼吸窘迫综合征（ARDS）是一种罕见但危急的病症，如果不及时处理，可导致严重呼吸衰竭。本病例报告介绍了一名43岁男性，他在泳池维护期间意外接触氯气后患上ARDS。患者病情迅速恶化，症状发展为急性肺水肿和严重低氧血症，需要立即转入重症监护病房（ICU）。初始治疗包括无创通气，但患者很快就需要气管插管和机械通气。尽管疾病进展迅速，但患者对积极的ICU管理反应良好，包括氧疗、机械通气和药物支持。值得注意的是，在七天内，患者完全康复并以稳定状态出院。本病例突出了与其他病因相比，氯气吸入所致ARDS预后良好的可能性，强调了在ICU及时干预和专科护理的重要性。
