{"title":"电击伤肺出血的罕见病例报告","authors":"Malingaraya Negali, S. Biradar","doi":"10.4103/ajim.ajim_89_21","DOIUrl":null,"url":null,"abstract":"\n We report a rare case of bilateral pulmonary hemorrhage with acute respiratory distress syndrome (ARDS), following high-voltage electricity exposure in a 29-year-old electric lineman while cutting an electrical wire for an uncertain duration. He was unconscious after falling from a tree following the exposure. His chest radiograph showed bilateral nonhomogeneous opacities, and high-resolution computed tomography revealed bilateral extensive ground-glass opacities, suggestive of pulmonary hemorrhage with ARDS. The patient was managed conservatively with intravenous fluids and oxygen. He recovered with near-complete resolution of chest X-ray abnormalities by day 5 of admission.","PeriodicalId":8012,"journal":{"name":"APIK Journal of Internal Medicine","volume":"2008 5","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Rare Case Report of Pulmonary Hemorrhage in Electrical Injury\",\"authors\":\"Malingaraya Negali, S. Biradar\",\"doi\":\"10.4103/ajim.ajim_89_21\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n We report a rare case of bilateral pulmonary hemorrhage with acute respiratory distress syndrome (ARDS), following high-voltage electricity exposure in a 29-year-old electric lineman while cutting an electrical wire for an uncertain duration. He was unconscious after falling from a tree following the exposure. His chest radiograph showed bilateral nonhomogeneous opacities, and high-resolution computed tomography revealed bilateral extensive ground-glass opacities, suggestive of pulmonary hemorrhage with ARDS. The patient was managed conservatively with intravenous fluids and oxygen. He recovered with near-complete resolution of chest X-ray abnormalities by day 5 of admission.\",\"PeriodicalId\":8012,\"journal\":{\"name\":\"APIK Journal of Internal Medicine\",\"volume\":\"2008 5\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-12-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"APIK Journal of Internal Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/ajim.ajim_89_21\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"APIK Journal of Internal Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/ajim.ajim_89_21","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
我们报告了一例罕见的双侧肺出血并伴有急性呼吸窘迫综合征(ARDS)的病例,患者是一名 29 岁的电力线工人,在切割电线时接触了高压电,持续时间不确定。他在接触高压电后从树上摔下,不省人事。他的胸片显示双侧非均质不透明,高分辨率计算机断层扫描显示双侧广泛磨玻璃不透明,提示肺出血并发 ARDS。患者接受了静脉输液和吸氧等保守治疗。入院第 5 天,他的胸部 X 光异常几乎完全消失。
A Rare Case Report of Pulmonary Hemorrhage in Electrical Injury
We report a rare case of bilateral pulmonary hemorrhage with acute respiratory distress syndrome (ARDS), following high-voltage electricity exposure in a 29-year-old electric lineman while cutting an electrical wire for an uncertain duration. He was unconscious after falling from a tree following the exposure. His chest radiograph showed bilateral nonhomogeneous opacities, and high-resolution computed tomography revealed bilateral extensive ground-glass opacities, suggestive of pulmonary hemorrhage with ARDS. The patient was managed conservatively with intravenous fluids and oxygen. He recovered with near-complete resolution of chest X-ray abnormalities by day 5 of admission.