Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Lung Injury Caused by Ammonia-Gas Inhalation

암모니아 가스 흡입에 의한 폐 합병증 1예

  • Lee, Jong-Deog (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Sin, Won-Ho (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Kim, Kuen-Yong (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Lee, Won-Ju (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Choi, Jin-Hak (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Whang, Young-Sil (Department of Internal Medicine, Gyeongsang National University Hospital)
  • 이종덕 (경상대학교 의과대학.내과학교실) ;
  • 신원호 (경상대학교 의과대학.내과학교실) ;
  • 김건용 (경상대학교 의과대학.내과학교실) ;
  • 이원주 (경상대학교 의과대학.내과학교실) ;
  • 최진학 (경상대학교 의과대학.내과학교실) ;
  • 황영실 (경상대학교 의과대학.내과학교실)
  • Published : 1991.03.31
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Abstract

We have experienced a case of lung injury caused by accidental inhalation of ammonia gas in a 34 year-old-man. By the explosion of ammonia tank in a refrigerator boat he inhaled ammonia gas. Several minutes later, he suffered from severe dyspnea and visual loss. On arrival at emergency room, analysis of arterial blood gas revealed severe hypoxemia and his chest film showed bilateral pulmonary infiltrates. Under the impression of adult respiratory distress syndrome, mechanical ventilator was applied to the patient. After recovery from ARDS and tracheal edema, he complained of some hemoptysis and productive sputum during the admission. So we checked bronchoscopy and bronchograpy which showed tracheal bullae just above carina and tubular bronchiectatic change in the right lower lobe. We report a case of lung injuries-ARDS, tracheal bullae, and bronchiectasis-caused by inhalation of ammonia gas with the review of the relevant literatures.

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