Webb D B, Williams M V, Davies B H, James K W
Br Med J (Clin Res Ed). 1984 Apr 28;288(6426):1259-60. doi: 10.1136/bmj.288.6426.1259.
A 29 year old man was admitted 36 hours after ingesting about 5 g paraquat. His arterial oxygen pressure fell progressively to 3.4 kPa (34 mm Hg), and pulmonary damage induced by paraquat was diagnosed. His condition did not improve after treatment with prednisolone and cyclophosphamide, but after irradiation both lungs cleared and arterial oxygen pressure started to improve. Irradiation of the lungs should be considered in patients who, after surviving the acute phase of poisoning with paraquat, show progressive deterioration of respiratory function.
一名29岁男子在摄入约5克百草枯36小时后入院。他的动脉血氧分压逐渐降至3.4 kPa（34 mmHg），诊断为百草枯所致的肺损伤。用泼尼松龙和环磷酰胺治疗后病情未改善，但双肺照射后病灶清除，动脉血氧分压开始改善。对于在百草枯中毒急性期存活后出现呼吸功能进行性恶化的患者，应考虑肺部照射。
