Vaziri N D, Smith P J, Wilson A
Clin Toxicol. 1980 May;16(3):335-43. doi: 10.3109/15563658008989957.
Intravenous injection of charcoal lighter fluid (naphtha) in a suicidal attempt led to development of severe hemorrhagic pneumonitis in a 40-year-old individual. Presenting symptoms consisted of pleuritic chest pain, epigastric discomfort, and dyspnea; they appeared within 2 hours after injection. Development of roentgenographic changes lagged behind the clinical symptoms by several hours. Fever and leukocytosis were present despite the absence of demonstrable superimposed bacterial infection. The pathology seemed exclusively confined to the pulmonary system with no clinical or laboratory evidence of extrapulmonary involvement. Repeated clinical, radiographic, and pulmonary function evaluations over an 18-month follow-up period have shown complete resolution of pulmonary lesions without residual abnormalities.
一名40岁个体因自杀企图静脉注射打火机油(石脑油),导致严重出血性肺炎。出现的症状包括胸膜炎性胸痛、上腹部不适和呼吸困难;这些症状在注射后2小时内出现。影像学改变的出现比临床症状滞后数小时。尽管没有可证实的叠加细菌感染,但仍有发热和白细胞增多。病理学似乎仅局限于肺部系统,没有肺外受累的临床或实验室证据。在18个月的随访期内进行的多次临床、影像学和肺功能评估显示,肺部病变完全消退,无残留异常。