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伴有严重慢性肺部表现的急性汞中毒

Acute mercury poisoning with severe chronic pulmonary manifestations.

作者信息

Lilis R, Miller A, Lerman Y

出版信息

Chest. 1985 Aug;88(2):306-9. doi: 10.1378/chest.88.2.306.

DOI:10.1378/chest.88.2.306
PMID:4017688
Abstract

This report describes a patient who developed acute chemical pneumonitis following overexposure to metal mercury vapor. The exposure occurred in a gold extraction facility where a gold-mercury amalgam was heated in a confined area. Prompt treatment with penicillamine and corticosteroids was instituted; radiologic pulmonary infiltrates disappeared within a week, but there was little change in the pulmonary function abnormalities (restriction and diffusion impairment) over the period of 11 months of follow-up. This raises the possibility of persistent pulmonary function impairment after metal mercury vapor-induced chemical pneumonitis.

摘要

本报告描述了一名因过度暴露于金属汞蒸气而发生急性化学性肺炎的患者。暴露发生在一家金提取设施中,在一个密闭区域加热金汞齐。立即开始用青霉胺和皮质类固醇进行治疗;肺部放射学浸润在一周内消失,但在11个月的随访期间,肺功能异常(限制性和弥散性损害)几乎没有变化。这增加了金属汞蒸气引起的化学性肺炎后持续存在肺功能损害的可能性。

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