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Camphor Intoxication-induced Acute Respiratory Distress Syndrome: A Case Report

樟腦油中毒導致生急性呼吸窘迫症候群之病例報告

摘要


樟腦是一種芳香族的化合物,人們熟悉於它的局部麻醉和驅蟲的效果。然而,誤食樟腦會造成嚴重的中毒,而此情況在台灣可能被低估。我們提出一個八十二歲的婦人在吞食了三百毫升的樟腦油表現出急性呼吸窘迫症候群的病例報告。樟腦中毒主要的症狀是冑腸道和神經精神方面的表現,這是首位急性呼吸窘迫症候群表現在樟腦中毒的病例報告。造成這位病患的急性呼吸窘迫症候群的原因可以是多因素的,需要進一步做對於樟腦和肺部的相互作用的研究。政府和民眾應該更注意這個可能被低估的樟腦中毒問題。

並列摘要


Camphor is an aromatic compound familiar to people as a topical anesthesia or repellent. It is highly toxic when ingested, and the clinical significance is overlooked in Taiwan. We report an 82-year-old woman who intentionally ingested about 300 ml of camphorated oil and developed acute respiratory distress syndrome (ARDS) and mortality. Camphor toxicity mainly produces symptoms of gastrointestinal and neuropsychiatric symptoms. This is the first case report concerning the presentation of ARDS in a patient with camphor intoxication. The cause of the presentation of ARDS of this patient could be multi-factorial. Further study regarding the interaction between camphor and lung tissue is needed, and it is also necessary to provide general education regarding the well-documented toxicity of camphor.

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