ADULT RESPIRATORY-DISTRESS SYNDROME FROM ORGANOPHOSPHATE POISONING

被引：17

作者：

KASS, R ^{[1
]}

KOCHAR, G ^{[1
]}

LIPPMAN, M ^{[1
]}

机构：

[1] ALBERT EINSTEIN MED CTR,NO DIV,DEPT MED,DIV CARDIOL,PHILADELPHIA,PA 19141

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1991年 / 9卷 / 01期

关键词：

ADULT RESPIRATORY DISTRESS SYNDROME; ORGANOPHOSPHATE POISONING;

D O I：

10.1016/0735-6757(91)90009-9

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A 46-year-old man after an accidental exposure to organophosphates developed florid adult resplratory distress syndrome (ARDS). A markedly suppressed level of pseudocholinestrase and red blood cell cholinestrase with profuse salivation and sweating confirmed the diagnosis of organophosphate poisoning. Within 48 hours, patient developed respiratory distress needing intubation. Despite maximum ventilatory support and positive end-expiratory prossure, hypoxia persisted, Swan Ganz (Baxter Healthcare Inc, Irvine, CA) pressures showed low pulmonary capllary wedge pressure and patient died on the third hospital day. An autopsy confirmed the picture of ARDS. Other potential causes of ARDS were excluded. Although rare, organophosphate poisoning should be added to the list of toxins causing ARDS. © 1991.

引用

页码：32 / 33

页数：2

共 9 条

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