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      • KCI등재

        양잿물 음독 후 생긴 위${\cdot}$식도 천공으로 사망한 환자 1례

        양희범,양영모,홍성엽,Yang, Hee-Bum,Yang, Young-Mo,Hong, Sung-Youp 대한임상독성학회 2005 대한임상독성학회지 Vol.3 No.2

        The caustic drugs are classified into acid and alkali. Oral intake of these drugs cause histological injuries to the surfaces of oral cavity, laryngopharynx, and esophagus. Caustic drugs such as detergents and brilliants are easily contacted at homes. However, until now, the epidemiology and the clinical statistics of caustic drug ingestion in Korea were not carried out. This is a case report of sodium hydroxide - lye, a caustic drug more toxic than the others - ingestion with complication of gastroesophageal perforation, rapidly progressed mediastinitis and prompt death in the course of treatment.

      • KCI등재

        아마추어 마라토너들의 사망사고에 대한 분석연구

        조병준(Byung Jun Cho),현광석(Gwang Suk Hyun),홍성엽(Sung Youp Hong),신학수(Hak Soo Shin) 한국사회체육학회 2007 한국사회체육학회지 Vol.0 No.31

        The purpose of this study is to provide basic data regarding death accidents of amateurs of marathon. The number of marathon amateurs has been explosively increasing in Korea. Marathon has been a popular and international sport that everyone can enjoy regardless of sex or age, with a wide variety of events. Even so, measures to prevent safety problems are urgently needed. All record of data by using news paper and internet during June. 31, 2007 from 2002 January. 1. This is helpful for the management of marathon amateurs, promotion of a preventive perception on the safety accident and constructon of an emergency care and service system. How to take actions concerning safety. The results of the study are as follows. First, The investigation showed that 28 amateurs of marathon died since 2002. Second, It was appeared that male amateurs of marathon(96.43%), and 40-50aged male amateurs were 42.86% of all number of deaths. Thrid, It was appeared that death numbers were happened on 2005(32.14%). The most highly damaged month of deaths were April(25%), and November(21.43%). Forth, The most highly damaged distance part of deaths was last part(21.43%). Fifth, There are following symptoms; cardiac arrest( 60.71%), respiratory arrest(25%), etc(14.29%). Sixth, Safety-education for amateurs of marathon needed very seriously and the program and guideline of safety education is required. The following study is required focusing on the direct and indirect risk factor, environmental factor and attitude causing safety accidents. According to the results of this study, the medical check during marathon or education must be strongly recommended.

      • KCI등재

        양잿물 음독 후 생긴 위,식도 천공으로 사망한 환자 1례

        양희범 ( Hee Bum Yang ),양영모 ( Young Mo Yang ),홍성엽 ( Sung Youp Hong ) 대한임상독성학회 2005 대한임상독성학회지 Vol.3 No.2

        The caustic drugs are classified into acid and alkali. Oral intake of these drugs cause histological injuries to the surfaces of oral cavity, laryngopharynx, and esophagus. Caustic drugs such as detergents and brilliants are easily contacted at homes. However, until now, the epidemiology and the clinical statistics of caustic drug ingestion in Korea were not carried out. This is a case report of sodium hydroxide - lye, a caustic drug more toxic than the others - ingestion with complication of gastroesophageal perforation, rapidly progressed mediastinitis and prompt death in the course of treatment.

      • KCI등재후보

        급성흉통의 진단적 프로토콜에 대한 전향적 연구

        홍성엽,김갑득,강명희 대한응급의학회 2003 대한응급의학회지 Vol.14 No.3

        Purpose: For appropriate triage of chest pain patients in the emergency room (ER), We verified whether or not a new chest pain protocol, which is a combination of Goldman algorithm Cardiac STATus® adequately reflects the risk of a major cardiac event in patients with acute chest pain. Methods: All patients arriving at the ER were divided into 4 risk group based on the Goldman Ml probability and on the result of cardiac STATus®. one month later, we collected information on whether the patients had undergone major cardiac event or death. We analyzed relative risk (RR) of cardiac event by using a logistic regression and we com pare the event-free survival rates and survival lengths. RR=2 mean that the risk of cardiac events is high by two folds than control group. Results: There were 31 major cardiac events. the relative risk of major events of each group compared to group 4 were 40.1 for group 1, 51.9 for group 2 and 27.4 for group 3. Group 4 patients experienced one cardiac event and no deaths. The survival time without a cardiac event of group 4 patients approach 30 days within experimental error. The survival rate without a cardiac event is 0.98±0.02. Therefore, the patients in group 4 had life expectancies similar to those of normal persons. Conclusion: This chest pain protocol adequately reflects the chances of cardiac event, so patients who show a negative result in cardiac STATus® and a low Goldman MI probability can be safely discharged from ER and followed up in outpatient clinic.

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