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조남준 ( Nam-jun Cho ),박삼엘 ( Samel Park ),이은영 ( Eun Young Lee ),길효욱 ( Hyo-wook Gil ) 대한임상독성학회 2020 대한임상독성학회지 Vol.18 No.2
Purpose: Acute respiratory failure is an important risk factor for mortality in patients with acute pesticide poisoning. Therefore, it is necessary to investigate the risk factors to predict respiratory failure in these patients. Methods: This study retrospectively investigated the clinical features of respiratory failure among patients with acute pesticide poi-soning requiring mechanical ventilation. This study included patients who were admitted with intentional poisoning by pesticide ingestion from January 2017 to December 2019. Paraquat intoxication was excluded. Results: Among 469 patients with acute pesticide poisoning, 398 patients were enrolled in this study. The respiratory failure rate was 30.4%. The rate of respiratory failure according to the type of pesticide was carbamate (75.0%), organophosphate (52.6%), glufosinate (52.1%), glyphosate (23%), pyrethroid (8.9%), and others (17%). The mortality was 25.6% in the respiratory failure group. The risk factors for respiratory failure were old age, low body mass index, and ingestion of more than 300 mL. Conclusion: Respiratory failure is a risk factor for mortality in pesticide poisoning. Old age, low body mass index, and ingestion of more than 300 mL are the risk factors for predicting respiratory failure.
마그네슘 포함 비료 음독 후 발생한 중증의 고마그네슐혈증의 1례
이가영 ( Ka-young Lee ),유진영 ( Jin-young Yu ),조남준 ( Nam-jun Cho ),박삼엘 ( Samel Park ),이은영 ( Eun-young Lee ),길효욱 ( Hyo-wook Gil ) 대한임상독성학회 2020 대한임상독성학회지 Vol.18 No.2
Hypermagnesemia is a rare condition that is usually iatrogenic in patients with elderly or renal failure. Severe hypermagnesemia is uncommon in patients with a normal renal function. Symptoms due to hypermagnesemia can range from mild symptoms, such as nausea, to severe symptoms, such as cardiac and respiratory arrest. This paper describes a case of a 49-year-old woman who ingested a magnesium-containing fertilizer with normal renal function. Cardiac arrest occurred eight hours after poisoning. Electrocardiography changed from a narrow QRS to a wide QRS and then to a complete atrioventricular block. Her hemodynamic state was unstable. Continuous renal replacement therapy was performed to remove magnesium from the blood, with the subsequent resolution of arrhythmia and hemodynamic stabilization. This paper reviews the pathophysiologic effects of magnesium on the cardiovascular system, clinical manifestation, and treatment of hypermagnesemia.