Akciğer komplikasyonlarına yol açan ağız yoluyla zehirlenmeler
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Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Ağızdan yutulan hidrokarbonlu bileşikler doku hipoksisi, pulmoner irritasyon ve sistemik toksisite ile etkilerini gösterirler. Akciğerlerin hasarı ölüme kadar giden çeşitli komplikasyonlara yol açmaktadır. Bu çalışmada tiner, neft ve kenaz zehirlenmeleri sunularak konuya dikkat çekilmek istenmiştir. Yöntem: Hastaların bilgileri retrospektif olarak tarandı. Demografik ve klinik takip özellikleri incelendi. Pulmoner komplikasyonlara inhaler steroidin etkisi incelendi. Sonuçlar literatür eşliğinde tartışıldı. Bulgular: On iki hastada dinlemekle akciğerlerde raller, altı hastada ciddi solunum sıkıntısı, beş hastada lökositoz, beş hastada ateş, üç hastada bilinç kaybı, iki hastada karaciğer fonksiyon testleri bozukluğu vardı. Hastaların beşinde solunum yolu bulgularının 24 saat sonra ortaya çıkması dikkat çekici idi. Hastalar medikal tedavi desteği ile 3-8 gün arasında şifa ile taburcu edildi. Sonuç: Biz pulmoner komplikasyonların düzeltilmesinde inhaler steroid kullandık. Ancak, katkısı olduğunu söyleyebilmek için karışlaştırmalı yayınlara gereksinim vardır. Bu tür zehirlenmelerin büyük çoğunluğu önlenebilir. Öte yandan, ebeveynler bu tür tehlikelerin farkında olmalıdır.
Objective: Hydrocarbon compounds swallowed orally show their effects with tissue hypoxia, pulmonary irritation, and systemic toxicities. Pulmonary damage leads to various complications leading to death. In this study, cases of poisoning with paint thinner, turpentine, and kenaz were reported to call attention to the subject. Methods: Information related to the patients were gathered, retrospectively. Effects of inhaled corticosteroids for pulmonary complications were evaluated. Results were discussed in the light of the literature. Results: Twelve of them presented with pulmonary rales, six patients manifested severe respiratory distress, five patients had leukocytosis, and five patients fever. Besides three patients were unconscious, and two patients had impaired liver function tests. Interestingly, respiratory symptoms became prominent after a period of 24 hours in five patients. All patients were discharged within a period of 3 to 8 days after medical treatment. Conclusion: We used inhaled corticosteroids for the treatment of pulmonary complications, but further studies are required to certainly assert their beneficial effects in this field. Most of such type of poisoning can be avoided. On the other hand, parents should be aware of such dangers.
Objective: Hydrocarbon compounds swallowed orally show their effects with tissue hypoxia, pulmonary irritation, and systemic toxicities. Pulmonary damage leads to various complications leading to death. In this study, cases of poisoning with paint thinner, turpentine, and kenaz were reported to call attention to the subject. Methods: Information related to the patients were gathered, retrospectively. Effects of inhaled corticosteroids for pulmonary complications were evaluated. Results were discussed in the light of the literature. Results: Twelve of them presented with pulmonary rales, six patients manifested severe respiratory distress, five patients had leukocytosis, and five patients fever. Besides three patients were unconscious, and two patients had impaired liver function tests. Interestingly, respiratory symptoms became prominent after a period of 24 hours in five patients. All patients were discharged within a period of 3 to 8 days after medical treatment. Conclusion: We used inhaled corticosteroids for the treatment of pulmonary complications, but further studies are required to certainly assert their beneficial effects in this field. Most of such type of poisoning can be avoided. On the other hand, parents should be aware of such dangers.
Açıklama
Anahtar Kelimeler
Pediatri
Kaynak
İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
2
Sayı
1
