대한임상독성학회지 (Journal of The Korean Society of Clinical Toxicology)

  • 제9권1호
  • /
  • Pages.30-33
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  • 2011
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  • 1738-1320(pISSN)
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  • 2508-6332(eISSN)
대한임상독성학회 (Korean society of Clincal Toxicology)
권호 표지

트리클로로에틸렌 흡입으로 인한 호흡부전 1례

A Case of Acute Respiratory Failure After Trichloroethylene Inhalation

  • 박재석 (순천향대학교 천안병원 내과학교실) ;
  • 전영우 (순천향대학교 천안병원 내과학교실) ;
  • 김영일 (순천향대학교 천안병원 내과학교실) ;
  • 길효욱 (순천향대학교 천안병원 내과학교실) ;
  • 양종오 (순천향대학교 천안병원 내과학교실) ;
  • 이은영 (순천향대학교 천안병원 내과학교실) ;
  • 홍세용 (순천향대학교 천안병원 내과학교실)
  • Park, Jae-Seok (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Jeon, Young-Woo (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Kim, Young-Il (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Gil, Hyo-Wook (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Yang, Jong-Oh (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Lee, Eun-Young (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Hong, Sae-Yong (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital)
  • 투고 : 2011.04.05
  • 심사 : 2011.05.23
  • 발행 : 2011.06.16
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초록

Trichloroethylene (TCE, $C_2HCl_3$), which was introduced as a gas for general anesthesia and analgesia in early 1900's has been widely used in industry as an organic solvent. Occupational exposure to TCE is an important medical problem. Manifestations of acute exposure to TCE include mucocutaneous irritation, hepatotoxicity, cognitive impairment, sleep, headache, respiratory insufficiency and death. We report a 38-year-old man who was admitted to a department of emergency medicine after occupational inhalation exposure to TCE. He rapidly developed semicoma and respiratory depression. After mechanical ventilation, hypercapnea and hypoxemia disappeared and his mental state again became alert. Careful evaluation and proper respiratory support are important for respiratory failure after occupational TCE inhalation.

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