Adult respiratory distress syndrome and silicone injection.

J M Coulaud, J Labrousse, P Carli, M Galliot, F Vilde, J Lissac
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Abstract

This report describes a case of adult respiratory distress syndrome (ARDS) after massive subcutaneous injections of silicone. The patient, a 23 year-old transsexual man, treated with mechanical ventilation, died on the 12th day of hospital, in septic shock and refractory hypoxemia. Autopsy findings revealed empty vacuoles surrounded by macrophages in various organs, especially in lung tissue. Toxicological analysis by emission by high frequency induced plasma showed silicone in the organs with histological lesions. The pathophysiology of this ARDS is considered.

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成人呼吸窘迫综合征和硅胶注射。
本报告描述一例成人呼吸窘迫综合征(ARDS)后大量皮下注射硅胶。患者为一名23岁变性男子,经机械通气治疗,于住院第12天死于感染性休克和难治性低氧血症。尸检结果显示,在各种器官,特别是肺组织中,有被巨噬细胞包围的空液泡。高频诱导等离子体放射毒理学分析显示,有组织学病变的器官中存在有机硅。考虑ARDS的病理生理。
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