隐秘的帕拉克瓦特中毒导致肺中毒和组织肺炎
Suresh Selvam1, Amar Simha1, Rana Sadaqat Nawaz2
1Senior Resident, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Tropical doctor
|September 7, 2023
概括
肺中介性肺炎 (pneumomediastinum) 是一个常见的肺部毒性迹象,在食用帕拉克瓦特后,经常伴有其他肺部异常. 没有暴露史或典型的帕拉克瓦特毒性迹象,诊断可能很困难.
科学领域:
- 肺部病理学 肺部病理学
- 毒理学 毒理学 毒理学
背景情况:
- 肺中症是急性水摄入的一种已知的并发症.
- 它经常与其他肺细胞变化一起发生,如凝固和地面玻璃不透明.
研究的目的:
- 突出肺中介体作为帕拉克瓦特中毒肺损伤的关键指标.
- 讨论非典型呈现的诊断挑战.
主要方法:
- 临床病例和图像检测结果的综述,针对急性食用帕拉克瓦特的患者.
- 分析肺中和肺部和其他放射性肺部异常之间的关联.
主要成果:
- 肺中介素经常被观察到在急性鱼食中.
- 肺中介膜的存在几乎总是与巩固,磨砂玻璃不透明度或球间隔膜厚度有关.
- 在缺乏明确的暴露史,呈现亚急性疾病或没有典型的毒性特征的情况下,诊断困难会出现.
结论:
- 肺中是肺中毒的一个显著的,虽然不是唯一的迹象,急性帕拉克瓦特中毒肺中毒.
- 肺膜异常的放射性证据通常伴随着肺中.
- 临床意识对于诊断帕奎特毒性至关重要,特别是当典型特征缺失时.
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