Poisoning induced by inhalation of hydrogen chloride has significant effects on the respiratory system. It can cause severe pulmonary edema and acute respiratory distress syndrome (ARDS) in the early stage, and even death in critical cases. As a novel treatment for ARDS, the efficacy of sivelestat sodium in infection-induced ARDS has been widely verified, but its application in ARDS caused by chemical poisoning is still scarce in literature. Here we report a case of ARDS induced by hydrogen chloride inhalation which was successfully treated with sivelestat sodium and conventional treatment.
氯化氢吸入中毒对呼吸系统影响明显，早期即可引起严重肺水肿甚至急性呼吸窘迫综合征（ARDS），严重者可导致死亡。西维来司他钠作为新型ARDS治疗药物，在感染所致ARDS中的疗效得到了广泛验证，但其用于化学中毒所致ARDS尚缺乏文献资料。本文报道1例应用西维来司他钠联合常规治疗成功治愈氯化氢吸入致ARDS的病例。.
Keywords: Acute respiratory distress syndrome; Hydrogen chloride; Poisoning; Sivelestat sodium.