J Korean Soc Clin Toxicol.
2011 Jun;9(1):30-33.
A Case of Acute Respiratory Failure After Trichloroethylene Inhalation
- Affiliations
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- 1Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. hwgil@schmc.ac.kr
Abstract
- Trichloroethylene (TCE, C2HCl3), 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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