汞吸入中毒与急性肺损伤。

Lim H E, Shim J J, Lee S Y, Lee S H, Kang S Y, Jo J Y, In K H, Kim H G, Yoo S H, Kang K H

Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea.

Korean J Intern Med. 1998 Jul;13(2):127-30. doi: 10.3904/kjim.1998.13.2.127.

Acute mercury inhalation poisoning is a rare cause of acute lung injury. It is usually fatal because of progressive pulmonary failure. We experienced a patient with acute respiratory distress syndrome (ARDS) after illicit use of mercury vapor for hemorrhoid treatment; he developed acute chemical pneumonitis following exposure to mercury vapor. Prompt treatment with corticosteroids and penicillamine for acute chemical pneumonitis was instituted; radiologic pulmonary infiltrates disappeared within a week, but late phase neurologic sequelae and pulmonary interstitial fibrosis progressed.

急性汞吸入中毒是急性肺损伤的罕见病因。由于进行性肺衰竭，它通常是致命的。我们遇到一名患者，在非法使用汞蒸气治疗痔疮后发生急性呼吸窘迫综合征（ARDS）；他在接触汞蒸气后患上急性化学性肺炎。对急性化学性肺炎立即采用皮质类固醇和青霉胺进行治疗；肺部放射学浸润在一周内消失，但后期出现神经后遗症且肺间质纤维化进展。