PDF(Pubmed)
Abstract：
BACKGROUND: Accidents involving chlorinated compounds in the context of cleaning are not uncommon. However, improving the treatment success rate for acute respiratory distress syndrome (ARDS) patients caused by chlorine gas presents significant challenges.
METHODS: A 28-year-old female was admitted to the intensive care unit after accidental inhalation of chlorine gas resulting in ARDS.
METHODS: The patient was diagnosed with ARDS attributed to chlorine gas exposure.
METHODS: The intervention involved utilizing a combination of awake self-prone positioning (ASPP) and high-flow nasal oxygen therapy for treatment.
RESULTS: After continuous ASPP and high-flow nasal oxygen therapy, the patient quickly recovered and was transferred out of the intensive care unit on the 6th day without any adverse events.
CONCLUSIONS: ASPP combined with high-flow nasal oxygen therapy can improve patients\' hypoxemia, prevent the need for intubation, avoid rapid deterioration of the condition, reduce treatment complexity, and lower mortality rate.
METHODS: A 28-year-old female was admitted to the intensive care unit after accidental inhalation of chlorine gas resulting in ARDS.
METHODS: The patient was diagnosed with ARDS attributed to chlorine gas exposure.
METHODS: The intervention involved utilizing a combination of awake self-prone positioning (ASPP) and high-flow nasal oxygen therapy for treatment.
RESULTS: After continuous ASPP and high-flow nasal oxygen therapy, the patient quickly recovered and was transferred out of the intensive care unit on the 6th day without any adverse events.
CONCLUSIONS: ASPP combined with high-flow nasal oxygen therapy can improve patients\' hypoxemia, prevent the need for intubation, avoid rapid deterioration of the condition, reduce treatment complexity, and lower mortality rate.
摘要：
背景：在清洁方面涉及氯化化合物的事故并不少见。然而,提高由氯气引起的急性呼吸窘迫综合征（ARDS）患者的治疗成功率提出了重大挑战。
方法：一名28岁女性在意外吸入氯气导致ARDS后进入重症监护病房。
方法：患者被诊断为氯气暴露导致的ARDS。
方法：干预涉及使用清醒自我倾向定位（ASPP）和高流量鼻氧疗法的组合进行治疗。
结果：在持续ASPP和高流量鼻氧治疗后，患者迅速康复,于第6日转出重症监护病房,未发生任何不良事件.
结论：ASPP联合高流量鼻氧治疗能改善患者低氧血症,防止插管的需要，避免病情迅速恶化，降低治疗复杂性，和较低的死亡率。
方法：一名28岁女性在意外吸入氯气导致ARDS后进入重症监护病房。
方法：患者被诊断为氯气暴露导致的ARDS。
方法：干预涉及使用清醒自我倾向定位（ASPP）和高流量鼻氧疗法的组合进行治疗。
结果：在持续ASPP和高流量鼻氧治疗后，患者迅速康复,于第6日转出重症监护病房,未发生任何不良事件.
结论：ASPP联合高流量鼻氧治疗能改善患者低氧血症,防止插管的需要，避免病情迅速恶化，降低治疗复杂性，和较低的死亡率。
