Toxic inhalation of sodium metabisulphite by-products from a shipping container.

Toxic inhalation of sodium metabisulphite by-products from a shipping container.
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DOI:
10.1093/occmed/kqad009
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发表时间:
2023-05-18
期刊:
Occupational medicine (Oxford, England)
影响因子:
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其他
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接触焦亚硫酸钠的副产品,一种作为散装货物运输的干化学品,导致一名港口物流工人受到改变一生的有毒吸入性伤害。这起案件增加了越来越多的报告,这些报告记录了工人打开运输集装箱时可能发生的危险暴露。为了保护工人的健康,安全打开集装箱的程序是必要的。处理货物集装箱的物流工人面临中毒吸入性伤害的风险,尽管这些伤害的发生率和严重性尚未得到很好的描述。我们报告了一位先前健康的37岁主管,他在对一个集装箱进行例行检查时,急性接触了焦亚硫酸钠及其热降解副产物。这名员工患上了化学性肺炎,并伴有急性非心源性肺水肿和随后的严重反应性呼吸道功能障碍综合征。
Exposure to the by-products of sodium metabisulphite, a dry chemical shipped as bulk cargo, resulted in a life-changing toxic inhalation injury for a port logistics worker. This case adds to the growing body of reports documenting the hazardous exposures that may occur when workers open shipping containers. Procedures to open shipping containers safely are needed to protect worker health. Logistics workers who handle cargo containers are at risk of toxic inhalation injuries, although prevalence and severities of these injuries are not well characterized. We report on a previously healthy 37-year-old supervisor who was acutely exposed to sodium metabisulphite and its thermal degradation by-products during a routine inspection of a shipping container. The employee developed chemical pneumonitis with acute non-cardiogenic pulmonary oedema and subsequent severe reactive airway dysfunction syndrome.
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