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KMID : 0383819910380010070
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Tuberculosis and Respiratory Diseases
1991 Volume.38 No. 1 p.70 ~ p.73
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A Case of Lung Injury Caused by Ammonia-Gab Inhalation
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이종덕/Jong Deog Lee
신원호/김건용/이원주/최진학/황영실/Won Ho Sin/Kuon Yong Kim/Won Ju Lee/Jin Hak Choi/Young Sil Whang
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Abstract
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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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