대한임상독성학회지 (Journal of The Korean Society of Clinical Toxicology)

  • 제3권1호
  • /
  • Pages.60-62
  • /
  • 2005
  • /
  • 1738-1320(pISSN)
  • /
  • 2508-6332(eISSN)
대한임상독성학회 (Korean society of Clincal Toxicology)
권호 표지

염산 흡입 후 발생한 Reactive Airways Dysfunction Syndrome (RADS) 1례

Reactive Airways Dysfunction Syndrome (RADS) from Chlorine Gas Releasing Cleaning Agents

  • 조광현 (을지대학교 의과대학 응급의학교실) ;
  • 김승환 (연세대학교 의과대학 응급의학교실) ;
  • 조영순 (연세대학교 의과대학 응급의학교실) ;
  • 이한식 (연세대학교 의과대학 응급의학교실) ;
  • 박준석 (을지대학교 의과대학 응급의학교실)
  • Cho, Kwang-Hyun (Department of Emergency Medicine, Eulji University) ;
  • Kim, Seung-Hwan (Department of Emergency Medicine, Yonsei University College of Medicine) ;
  • Cho, Young-Soon (Department of Emergency Medicine, Yonsei University College of Medicine) ;
  • Lee, Hahn-Shick (Department of Emergency Medicine, Yonsei University College of Medicine) ;
  • Park, Joon-Seok (Department of Emergency Medicine, Eulji University)
  • 발행 : 2005.06.01
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초록

A previously healthy 57-year-old woman with dyspnea and wheezing presented to the emergency department a few minutes after exposure to unknown gas from mixing bleach (sodium hypochlorite) and cleaning agent (hydrochloric acid) at work place. Initial physical examination revealed severe wheezing on both whole lung fields, but the chest radiograph was normal. Arterial blood gas analysis showed only moderate hypoxemia. The patient was treated with oxygen, $\beta$adrenergic bronchodilators, antihistamines and corticosteroids, after then symptoms were improved. And the patient discharged against medical advice. We report a rare case of reactive airways dysfuntion syndrome from chlorine gas exposure.

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