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외국산 꿀(석청) 복용후 발생한 심혈관계 중독증상 환자 2례
고영길,김경환,김아진,신동운,박준석,노준영,안지영,Ko Young-Gil,Kim Kyung-Hwan,Kim Ah-Jin,Shin Dong-Wun,Park Jun-Soek,Roh Jun-Young,Ahn Ji-Young 대한임상독성학회 2006 대한임상독성학회지 Vol.4 No.1
Mad-honey poisoning is mainly brought about by the honey imported from Napal, Turkey, Brazil and other parts of Europe. This mad honey is extracted from Ericaceae plants of Rhododendron species and contains grayanotoxins that causes poisoning. These toxic compounds exert a specific stimulatory action on membrane permeability to Na+ions in various excitable tissues and cause depolarization of cell membranes. The toxic effects of grayanotoxins contained honey are mainly cardiovascular disturbances with bradycardia, cardiac arrhythmia, hypotension. There are Other symptoms like nausea, vomiting, salivation, dizziness, weakness and loss of consciousness. The precise amount for a toxic dose is not known. In general the severity of the honey poisoning depends on the amount ingested. Two cases of mad-honey poisoning are described here. Both patients showed bradycardia and arterial hypotension after ingestion of honey which was brought from Nepal. They were recovered fully within 24 hours after administration of fluids and atropine sulphate.
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고영길,안지영,류석용,이상래,조석진,김미란,Ko, Young-Gil,Ahn, Ji-Young,Ryu, Seok-Yong,Lee, Sang-Lae,Cho, Suk-Jin,Kim, Mi-Ran 대한임상독성학회 2006 대한임상독성학회지 Vol.4 No.2
Neurotoxic shellfish poisoning (NSP) can result from eating filter-feeding shellfish carrying brevetoxins produced by the marine dinoflagellate Krenia brevis (formally Gymnodinium breve). Brevetoxins enhance sodium entry into cells via voltage-sensitive sodium channels and have an excitatory effect. The incubation period is three hours (range 15 minutes-18 hours). NSP is characterized by gastroenteritis combined with neurologic symptoms. Gastrointestinal (GI) symptoms include abdominal pain, nausea, diarrhea and burning pain in the rectum. Neurologic symptoms are paresthesia, reversal of hot and cold temperature sensation, myalgia, headache, vertigo, and ataxia. Other symptoms may include malaise, tremor, dysphagia, bradycardia, decreased reflexes, dilated pupils, seizure, and coma. The health problem caused by K. breviscan be associated with a red tide bloom. We encountered 3 cases of neurotoxic shellfish poisoning. They all presented with GI and neurologic symptoms andrecovered after conservative treatment.
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지하상가 가스누출 사고 환자들에 대한 임상적 고찰 - 일산화탄소 중독 -
안지영,고영길,Ahn, Ji-Young,Ko, Young-Gil 대한임상독성학회 2006 대한임상독성학회지 Vol.4 No.2
Purpose: It is not easy to detect carbon monoxide (CO) leakage, and CO-intoxicated patients do not show a specific set of symptoms. The aims of this study are to clinically evaluate patients with CO gas intoxication from a CO leak at an underground shopping center, and to discuss the establishment of a disaster prevention plan. Methods: A total of 51 patients intoxicated by CO gas exposure in a gas disaster at a underground shopping center in Seoul on September 8, 2006 were enrolled in this study, and the patients' medical records were retrospectively reviewed. Results: The mean patient age was $29.4{\pm}6.3$. The initial mean COHb level was $14.98{\pm}6.97%$. The number of patients with COHb greater than 25% was three, and six patients experienced a syncopal attack. Only one patient-was treated with hyperbaric oxygen therapy. However, none of the patients complained of severe neurologic or cardiovascular symptoms. Conclusion: The symptoms of CO intoxication are non-specific and difficult to define, and the detection of CO leak-age is difficult. Thus, workplaces should be equipped with leakage sensors and automatic alarm systems and should have develop disaster prevention plans.
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응급구조를 위한 소방방재청의 정책에 관한 연구 : 119 구급대원을 중심으로
안지영,고영길 인제대학교 2007 仁濟醫學 Vol.28 No.-
Purpose : Emergency rescue in this paper means emergency medicine and technique supplied by emergency medical technicians (EMTs) before their arriving to the hospital with the patients. The purpose of this paper is to draw policy alternatives on emergency rescue for the National Emergency Management Agency (NEMA), which was established in June 2004, for the ultimate goal of reducing emergency in Korea after comparing U.S. governments's strategy and NEMA's strategy. Methods : This study uses the post-test comparison group design as its major research tool for the purpose. Two significant tests are applied to both the controlled group of U.S. governments and the experimental group of NEMA, such as ① the governmental institutions for emergency rescue and their characteristics and ② the psychological approach to emergency rescue. Results : Speaking of the U.S. governments, states government play an important role in managing local emergency institutions, while many licenses and educational programs are available for EMTs in each state. Also, the psychological approach to emergency rescue is very much appreciated by not only emergency victim but also EMTs. On the other hand, regarding the NEMA, the Rescue Division comprehensively manages emergency rescue, but its policy is not so substantial. In addition, the psychological approach is just a beginning level. Conclusion : The focus of this paper has been given to two kinds of policy alternative for the NEMA. First, after improving related licenses and educational programs for EMTs and producing a number of them, the NEMA should let them take care of the patients on the spot in particular without doctors' order. Second, the NEMA should try to provide much more intensified psychological treatment for EMTs as well as general victims of emergency.
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