Clinical case of the development of lipoid pneumonia due to diesel fuel poisoning

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Treatment of severe pneumonia, including lipoid pneumonia (with the addition of a bacterial infection), is an urgent health problem and requires adherence to an algorithm of clinical and diagnostic measures to ensure adequate treatment tactics. Late admission to the intensive care unit for severe community-acquired pneumonia has been associated with high mortality rates.

A clinical case is presented of a patient who received diesel fuel poisoning as a result of violation of safety requirements when working with technical fluids. Indicators of blood gas composition during the development of respiratory failure are presented, as well as options for the development of complications in the form of parapneumonic pleurisy, severe bilateral polysegmental pneumonia with areas of tissue destruction and the formation of pneumofibrosis. Complex antibacterial, detoxification, mucolytic, analgesic, gastroprotective oxygen therapy and insulin therapy were carried out. Timely comprehensive treatment allowed us to achieve a favorable outcome.

全文:

受限制的访问

作者简介

A. Smirnov

S.M. Kirov Military Medical Academy, Ministry of Defense of Russia

编辑信件的主要联系方式.
Email: sandstorm9@mail.ru
ORCID iD: 0000-0001-7596-6772
俄罗斯联邦, Saint Petersburg

A. Mikhailov

S.M. Kirov Military Medical Academy, Ministry of Defense of Russia

Email: sandstorm9@mail.ru
ORCID iD: 0000-0001-5656-2764
俄罗斯联邦, Saint Petersburg

R. Velibekov

S.M. Kirov Military Medical Academy, Ministry of Defense of Russia

Email: sandstorm9@mail.ru
俄罗斯联邦, Saint Petersburg

A. Shevchenko

S.M. Kirov Military Medical Academy, Ministry of Defense of Russia

Email: sandstorm9@mail.ru
ORCID iD: 0000-0002-7658-8766
俄罗斯联邦, Saint Petersburg

I. Bugorskii

Branch No. 2 of the Federal State Budgetary Institution “419 Military Hospital”,
Ministry of Defense of Russia

Email: sandstorm9@mail.ru
ORCID iD: 0009-0009-0149-2733
俄罗斯联邦, Novorossiysk

参考

  1. Елифанов А.В., Гашев С.Н., Моисеенко Т.И. Влияние сырой нефти на организм грызунов в подостром эксперименте. Труды Карельского научного центра Российской академии наук. 2012; 2: 76–83 [Elifanov A.V., Gashev S.N., Moiseenko T.I. Influence of crude oil on the organism of rodents in a subacute experiment. Proceedings of the Karelian Scientific Center of the Russian Academy of Sciences. 2012; 2: 76–83 (in Russ.)].
  2. Указания по военно-полевой терапии. СПб: ООО «Медиздат-СПб», 2019; 464 с. [Instructions for military field therapy. St. Petersburg: LLC “Medizdat-SPb”, 2019; 464 p. (in Russ.)].
  3. Маркизова Н.Ф., Гребенюк А.Н., Башарин В.А. и др. Нефтепродукты. СПб: Издательство «Фолиант», 2004; 43 с. [Markizova N.F., Grebenyuk A.N., Basharin V.A. et al. Petroleum products. St. Petersburg: publishing house "Foliant", 2004; 43 p. (in Russ.)].
  4. Gowrinath K., Shanthi V., Sujatha G. et al. Pneumonitis following diesel fuel siphonage. Respir Med Case Rep. 2012; 5: 9–11. doi: 10.1016/j.rmedc.2011.11.010
  5. Majeed H.A., Bassyouni H., Kalaawy M. et al. Kerosene poisoning in children: a clinico-radiological study of 205 cases. Ann Trop Paediatr. 1981; 1 (2): 123–30. doi: 10.1080/02724936.1981.11748074
  6. Крупнов, Н.М., Швальб А.П., Сашин А.В., и др. Судебно-медицинские аспекты токсического действия парафинсодержащих нефтепродуктов у детей. Судебная медицина. 2018; 4 (2): 23–5 [Krupnov N.M., Shvalb A.P., Sashin A.V. et al. Forensic aspects of toxic effect of paraffincontaining oil products from children’s. Russian Journal of Forensic Medicine. 2018; 4 (2): 23–5 (in Russ.)]. doi: 10.19048/2411-8729-2018-4-2-23-25
  7. Бушуев Е.С., Башарин В.А., Горбачева Т.В. и др. Летучие органические соединения. СПб: Издательство «Левша. Санкт- Петербург», 2018; 113 с. [Bushuev E.S., Basharin V.A., Gorbacheva T.V. et al. Volatile organic compounds. St. Petersburg: Publishing house “Levsha. St. Petersburg", 2018; 113 p. (in Russ.)].
  8. Chen Y.J., Hsu C.C., Chen K.T. Hydrocarbon pneumonitis following fuel siphonage: A case report and literature review. World J Emerg Med. 2019; 10 (2): 69–74. doi: 10.5847/wjem.j.1920-8642.2019.02.001
  9. Нистратов С.Л. Некардиогенный отек легких при инфекционно-токсическом шоке у больных перитонитом. Автореф. дис. ... канд. мед. наук. М., 1989; 22 с. [Nistratov S.L. Non-cardiogenic pulmonary edema during infectious-toxic shock in patients with peritonitis. Avtoref. dis. ... kand. med. nauk. M., 1989; 22 р. (in Russ.)].
  10. Aboudara M., Yun J. A case of fire-eater's pneumonia in an active-duty soldier. Med Gen Med. 2006; 8 (2): 67.

补充文件

附件文件
动作
1. JATS XML
2. Computed tomography of the chest organs: a – pulmonary mode; б – soft tissue mode

下载 (267KB)

版权所有 © Russkiy Vrach Publishing House, 2024