아연증기 흡입으로 발생한 급성호흡곤란증후군 1예

A Case of Acute Respiratory Distress Syndrome Caused By Zinc Fume Inhalation

  • 최상분 (인제대학교 의과대학 내과학교실) ;
  • 서정숙 (인제대학교 의과대학 내과학교실) ;
  • 한양천 (인제대학교 의과대학 내과학교실) ;
  • 김애란 (인제대학교 의과대학 내과학교실) ;
  • 허진원 (인제대학교 의과대학 내과학교실) ;
  • 이성순 (인제대학교 의과대학 내과학교실) ;
  • 이영민 (인제대학교 의과대학 내과학교실) ;
  • 이혁표 (인제대학교 의과대학 내과학교실) ;
  • 김주인 (인제대학교 의과대학 내과학교실) ;
  • 염호기 (인제대학교 의과대학 내과학교실) ;
  • 최석진 (인제대학교 의과대학 영상의학과) ;
  • 최수전 (인제대학교 의과대학 내과학교실) ;
  • 이현경 (인제대학교 의과대학 내과학교실)
  • Choi, Sang Bun (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Seo, Jeong Sook (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Han, Yang Chun (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Kim, Ae Ran (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Hur, Jin-Won (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Lee, Sung Soon (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Lee, Young Min (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Lee, Hyuk Pyo (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Kim, Joo In (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Yum, Ho-Kee (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Choi, Suk-Jin (Department of Radiology, College of Medicine, Inje University) ;
  • Choi, Soo Jeon (Department of Internal Medicine, College of Medicine, Inje University) ;
  • Lee, Hyun-Kyung (Department of Internal Medicine, College of Medicine, Inje University)
  • 투고 : 2007.02.08
  • 심사 : 2007.03.19
  • 발행 : 2007.04.30

초록

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.

키워드

참고문헌

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