Ugeskrift for laeger
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Ugeskrift for laeger · Feb 1989
[Smoke poisoning. Inhalation injuries from remaining at the scene of a fire].
In 1987, 87 persons died in Denmark as the result of fires. Fifteen of these occurred after arson. The commonest immediate cause of death in connection with fire is smoke inhalation. ⋯ Treatment is primarily supportive and symptomatic. Finally, the various fire-extinguishing agents employed to extinguish fires at present are reviewed. Some of these have potentially injurious effects.
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The article contains a review and two case reports of pulmonary histiocytosis-X. This is a rare disease entity comprising about 3% of all chronic interstitial lung diseases. ⋯ About 25% of the patients show spontaneous remission, in 40% the changes remain stationary, while 35% progress and eventually die from respiratory insufficiency or cor pulmonale. Treatment with glucocorticoids and cytostatics should be initiated at high disease activity, with progressive X-ray changes and decreasing pulmonary function.