Smoke inhalation injury from newer synthetic building materials--a patient who survived 205 days
| Autor: | Kouichi Uehara, Hiromi Narita, Shouhei Inoue, Ichiro Kikuchi, Yoshifumi Takehara, Katsumi Ogata |
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| Rok vydání: | 1987 |
| Předmět: |
Adult
Male medicine.medical_specialty Smoke Inhalation Injury Atelectasis Critical Care and Intensive Care Medicine Pulmonary function testing Hyperaemia Airway resistance medicine Humans Respiratory Tract Infections Respiratory Distress Syndrome Inhalation business.industry Construction Materials General Medicine respiratory system medicine.disease respiratory tract diseases Surgery Anti-Bacterial Agents Pneumothorax Anesthesia Emergency Medicine Parenteral Nutrition Total medicine.symptom business Hypercapnia circulatory and respiratory physiology Burns Inhalation |
| Zdroj: | Burns, including thermal injury. 13(2) |
| Popis: | A 25-year-old factory worker sustained inhalation injury and 2 per cent deep burns while fighting a fire in his factory (LSI factory) which was made of new synthetic building materials. He became unconscious and inhaled noxious substances from the smoke. Although he survived the acute stages following injury, his pulmonary function subsequently deteriorated with a damaged trachea and bronchi, repeated attacks of pneumonia, atelectasis, pneumothorax and lung fibrosis, leading to death with hypercapnia (PaCO2 more than 100 mmHg) after 205 days in hospital. Autopsy revealed scarring contraction and dilatation of the trachea and bronchi, acquired bronchiectasis, lobular pneumonia, bleeding, hyperaemia and oedema of the lungs. Systemic administration of corticosteroids was only transiently beneficial in reducing the increased airway resistance. |
| Databáze: | OpenAIRE |
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