학술논문

아연증기 흡입으로 발생한 급성호흡곤란증후군
A Case of Acute Respiratory Distress Syndrome Caused By Zinc Fume Inhalation
Document Type
Article
Source
Tuberculosis and Respiratory Diseases. Apr 30, 2007 62(4):314
Subject
Zinc fume inhalation
Acute respiratory distress syndrome
Glucocorticoid
N-acetylcysteine
Language
Korean
ISSN
1738-3536
Abstract
아연 증기의 흡입은 금속흄열을 일으키고 대개는 자연히 회복되지만 치명적인 폐손상이 일어나는 경우도 있다. 저자들은 43세 남자가 밀폐된 공간에서 아연제련작업 후 6시간 지나 급성호흡곤란증후군이 발생한 증례에서 NAC과 methylprednisolone을 주사하여 성공적으로 치료한 예를 경험하여 문헌고찰과 함께 보고한다.
The Inhalation of certain freshly formed metal oxides can cause metal fume fever, which is an acute, self-limiting, flu-like illness. The most common cause of this syndrome is the inhalation of zinc oxide. The inhalation of zinc oxide can lead to tracheobronchiolitis, chemical pulmonary edema or to respiratory failure and acute respiratory distress syndrome(ARDS). We encountered a 43-years-old man who developed severe dyspnea after inhaling of zinc oxide while working for 5 hours in a closed space. He was diagnosed with ARDS and was treated successfully with glucocorticoid. We report a case of ARDS caused by the inhalation of zinc fumes. (Tuberc Respir Dis 2007; 62: 314-317)