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急性汞中毒性肺炎

Acute mercurial pneumonitis.

作者信息

Milne J, Christophers A, de Silva P

出版信息

Br J Ind Med. 1970 Oct;27(4):334-8. doi: 10.1136/oem.27.4.334.

DOI:10.1136/oem.27.4.334
PMID:5488692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1069424/
Abstract

334-338. Mercury vapour has been shown to cause acute effects on the lung when inhaled in high concentrations. Four men, exposed to mercury inside a tank, developed, hours later, signs and symptoms of an acute febrile illness with severe pulmonary irritation, characterized by fever, rigors, cough, dyspnoea, and tightness in the chest. A review of the literature revealed that this syndrome had been described and investigated previously in fewer than 20 cases during the past 40 years, and is apparently little known. Fatalities have been described, particularly in children, and necropsy evidence has consistently revealed the pattern of an acute diffuse interstitial pneumonitis, accompanied by profuse fibrinous exudation and erosion of the bronchial and bronchiolar lining. The two common features in all reports are the heating of mercury or the entering into a confined space, or both. Adequate respiratory protection by an efficient air-supplied respirator is mandatory in industrial circumstances of the kind described in this report.

摘要

334 - 338. 已表明,高浓度吸入汞蒸气会对肺部产生急性影响。四名男子在一个水箱内接触汞,数小时后出现急性发热疾病的体征和症状,伴有严重的肺部刺激,其特征为发热、寒战、咳嗽、呼吸困难和胸部紧绷感。对文献的回顾显示,在过去40年中,这种综合征在不到20例病例中被描述和研究过,显然鲜为人知。已有死亡病例的描述,尤其是儿童,尸检证据一直显示为急性弥漫性间质性肺炎的模式,伴有大量纤维蛋白渗出以及支气管和细支气管内衬的糜烂。所有报告中的两个共同特征是汞受热或进入密闭空间,或两者皆有。在本报告所述的工业环境中,必须使用高效供气式呼吸器提供充分的呼吸防护。

相似文献

1
Acute mercurial pneumonitis.急性汞中毒性肺炎
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2
Metallic mercury exposure in scientific glassware manufacturing plants.
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Chemical analysis of Hg0-containing Hindu religious objects.汞(Hg0)含量的印度教宗教物品的化学分析。
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Natural Phytotherapeutic Antioxidants in the Treatment of Mercury Intoxication-A Review.天然植物治疗性抗氧化剂在汞中毒治疗中的应用——综述
Adv Pharm Bull. 2018 Aug;8(3):365-376. doi: 10.15171/apb.2018.043. Epub 2018 Aug 29.
5
Cases of acute mercury poisoning by mercury vapor exposure during the demolition of a fluorescent lamp factory.一家荧光灯厂拆除过程中因接触汞蒸气导致急性汞中毒的病例。
Ann Occup Environ Med. 2017 Jun 20;29:19. doi: 10.1186/s40557-017-0184-x. eCollection 2017.
6
Death Following Inhalation of Mercury Vapor at Home.在家吸入汞蒸气后死亡。
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7
A case of acute mercury vapour poisoning.一例急性汞蒸气中毒病例。
Postgrad Med J. 1975 Jun;51(596):428-30. doi: 10.1136/pgmj.51.596.428.
8
Acute mercury pneumonitis.急性汞中毒性肺炎
Br J Ind Med. 1978 Aug;35(3):258-61. doi: 10.1136/oem.35.3.258.

本文引用的文献

1
Acute mercurial poisoning by inhalation of metallic vapour in an infant.一名婴儿因吸入金属汞蒸气导致急性汞中毒。
Can Med Assoc J. 1948 Jan;58(1):72-5.
2
BRONCHITIS DUE TO ACUTE MERCURY INHALATION. REPORT OF TWO CASES.急性汞吸入所致支气管炎。两例报告。
Am Rev Respir Dis. 1963 Oct;88:543-5. doi: 10.1164/arrd.1963.88.4.543.
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Acute bilateral pneumonitis associated with the inhalation of mercury vapor. Report of five cases.
Conn Med. 1961 Feb;25:106-9.
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Acute poisoning associated with inhalation of mercury vapor; report of four cases.
Pediatrics. 1958 Oct;22(4 Part 1):675-88.
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Acute pneumonitis due to accidental exposure to mercury vapor.
Ariz Med. 1954 Sep;11(9):335.
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Diffuse lung disease caused by inhalation of mercury vapor.
Am Rev Respir Dis. 1969 Mar;99(3):430-6. doi: 10.1164/arrd.1969.99.3.430.