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권혁술,손유동,안희철,안지윤,Kwon, Hyuk-Sool,Sohn, You-Dong,Ahn, Hee-Cheol,Ahn, Ji-Yun 대한임상독성학회 2008 대한임상독성학회지 Vol.6 No.2
Purpose: Chlorine gas is a common irritant that usually causes mild respiratory symptoms. One severe symptom, RADS (Reactive Airway Dysfunction Syndrome), is not well known to physicians. We analyzed the clinical features of chlorine gas exposure. Methods: We prospectively collected 25 cases of chlorine gas exposure near our emergency center on January 10th, 2007, and analyzed demographic data, event-to-ER interval, symptoms, and laboratory results based on medical records. Results: Only 2 patients out of 25 were admitted because of severe symptoms, the rest were discharged without complications. Sixty percent of them visited the ER within 12 h of exposure. The most common symptoms were chest discomfort (60%), headache (40%), nausea (40%), throat irritation (26%), and cough (32%). Two out of eight dyspnea cases showed abnormal pulmonary function, but only one case was diagnosed as RADS. Conclusion: Most symptoms after chlorine gas exposure can be treated conservatively. However, patients with chlorine exposure should be followed up long term for delayed complications.
안지윤,손유동,권혁술,안희철,Ahn, Ji-Yun,Sohn, You-Dong,Kwon, Hyuk-Sool,Ahn, Hee-Chol 대한임상독성학회 2008 대한임상독성학회지 Vol.6 No.2
A 47-year-old woman ingested about 12 mg of colchicine with suicidal intent. Colchicine, a highly poisonous alkaloid, is a commonly used treatment for gout, Bechet's disease, and familial Mediterranean fever. Despite the knowledge of its side effects, the risk of a significant overdose is under-appreciated. She suffered from acute multisystem toxicity, including gastrointestinal disorders, bone marrow suppression, alopecia, and probable pancreatitis, but she ultimately recovered with supportive therapy. We report a case of acute colchicine toxicity from a single overdose with a review of the literature.
네일 건(Nail Gun) 사고에 의한 경부 관통상 1례
한종순 ( Jong Soon Han ),손유동 ( You Dong Sohn ),안지윤 ( Ji Yoon Ahn ),안희철 ( Hee Cheol Ahn ),권혁술 ( Hyuk Sool Kwon ),서강열 ( Gang Yeol Seo ),조광윤 ( Kwang Yun Cho ),박승민 ( Seung Min Park ) 대한외상학회 2011 大韓外傷學會誌 Vol.24 No.1
Powered by compressed air, a nail gun is an essential alternative tool to a hammer on any construction site. This useful machine launches nails at high speed, automatically embedding them in a piece of wood in only a fraction of a second. In spite of its convenience, life-threatening and fatal nail gun injuries can occur when a nail gun is misused, such as in a suicide attempt, or when the operator has insufficient training because combustion nail guns are capable of firing projectiles at velocities higher than 150 m per second. Although injuries by nail guns are rarely reported, there have been reports of nail gun injuries to the head and the trachea in Korea. In the emergency room, the authors experienced a patient injured by an accidental shooting of a nail gun while working in construction. In that accident, a nail penetrated the patient`s cervical vertebra through the left cheek. This report is aimed at studying medical treatment for patients with penetrating injuries caused by nail guns. (J Korean Soc Traumatol 2011;24:48-51)