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소병학,이원재,심병용,김훈교,김치홍,So Byung Hak,Lee Won Jae,Shim Byoung Yong,Kim Hoon-Kyo,Kim Chi Hong 대한임상독성학회 2005 대한임상독성학회지 Vol.3 No.1
MCPP (2-(2-methyl-4-chlorophenoxy)propionic acid; mecoprop), a hormonal weedkiller has been widely used. Although chronic exposure is generally considered to be mildly toxic to man, acute intoxication can be severe and should thus be taken seriously. We report the case of a patient who died after ingestion of MCPP. A 64-year-old man ingested about 400 ml of $50\%$ MCPP solution. He was stuporous and had an inadequate respiration. He had an hypotension which did not respond to vasopressors and died about twelve hours after ingestion.
Practice of antidote in Emergency Room
소병학 대한응급의학회 2016 대한응급의학회 학술대회초록집 Vol.2016 No.1
응급실에서 급성 중독환자에게 사용할 수 있는 해독제에 대한 연구는 꾸준히 진행되고 있으며 응급의학과 의료진은 급성 중독환자의 초기치료에 중요한 역할을 수행하기 때문에 해독제의 최신지견을 숙지하는 것이 바람직할 것이다. High-dose insulin euglycemia(이하 HIE) 치료는 심한 베타차단제와 칼슘채널차단제 중독에서 사용되고 있으며, 여러 임상보고를 통하여 혈역학적 기능을 향상시키는 것으로 알려져 있다. 하지만, 아직 가장 적절한 용량은 결론에 이르지 못한 듯 보이고, 임상에서 의료진들은 사용에 익숙하지 못한 상태이다. N-acetylcystein 은 아세트아미노펜 급성 중독에서 선택적 해독제로 널리 사용되고 있다. 최근 다양한 용법에 대한 연구가 진행되고 있으며 최근 미국 임상독성학회는 기존의 21시간 정주요법이 임상적 상태에 따라 연장될 수 있다는 언급을 전하며, N-acetylcystein 정주 치료를 중단할 수 있는 경우를 제시하였다. 메트헤모글로빈 혈증에서 일차 해독제는 메틸렌블루로 알려져 있지만, 국내에서 주사용 메틸렌블루를 구하기는 어렵다. 최근 비타민C를 메트헤모글로빈 혈증 치료에 사용한 경험이 보고되고 있으며 이는 비타민C의 항산화효과에 의한 것으로 추정된다.
소병학,김영민,박규남,김세경 대한응급의학회 2001 대한응급의학회지 Vol.12 No.2
Eclampsia is characterized by generalized tonic-clonic convulsions that develop in women with hypertension induced or aggravated by pregnancy. Because identification of patients at risk and preventive therapies are imperfect, eclamptic seizures continue to occur occasionally during puerperium. Nearly all cases of postpartum eclampsia develop within 24 hours of delivery, but typical cases are seen up to 26 days postpartum. Convulsion with initial presentation more than 48 hours but less than 4 weeks after delivery are commonly referred to as late postpartum eclampsia. We describe two cases of late postpartum eclampsia and give a review of literature.
심정지 후 성공적 심폐소생술 시행 환자에서 혈중 Cytochrome c, TNF-R1, Fas Ligand의 발현양상
소병학,윤준성,정시경,김형민,박규남,최승필 대한응급의학회 2010 대한응급의학회지 Vol.21 No.2
Purpose: Numerous reports have suggested that apoptosis may play an important role in postresuscitation syndrome. The aim of this study is to assess the levels of molecules that are associated with apoptosis in the serum of patients who underwent successful resuscitation after cardiac arrest. Methods: The serum levels of cytochrome c, tumor necrosis factor type 1 receptor (TNF-R1) and Fas ligand in 11 patients were measured at 0, 4, 12, 24, 48 and 72 hours after successful resuscitation. The primary endpoint consisted of survival to hospital discharge. Ten healthy volunteers were also evaluated as a control group. Results: Patients with successful resuscitation had increased levels of cytochrome c and TNF-R1 at 0, 4, 12, 24 and 48hours after return of spontaneous circulation (ROSC), as compared with those levels of the healthy volunteers (p<0.05). Higher levels of TNF-R1 at 12, 24 and 48 hours after ROSC were found in the non-survivors as compared to those levels of the survivors (p=0.01, 0.03, 0.02). The Fas ligand level at ROSC was also higher in the patients with successful resuscitation (p=0.00). However, the Fas ligand levels at 24, 48 and 72 hours after ROSC were lower in the patients with successful resuscitation than those levels in the healthy volunteers. Conclusion: These results suggest that apoptosis belonging to the TNF-R1 and cytochrome c pathways may be involved in the pathogenesis of postresuscitation syndrome. The serum levels of the death-receptor TNF-R1 could serve to quantitate the severity of injury and to prognosticate the survival outcomes.
소병학,박승현,김기명,김세경 대한응급의학회 2002 대한응급의학회지 Vol.13 No.2
This paper presents one case of subdural tension pneumocephalus which deteriorated in the early phase of head trauma. Pneumocephalus occurs in 0.5 to 1.0% of head trauma cases. Most patients have nonspecific signs and symptoms, such as headache. Therefore, a high index of suspicion in a patient with recent head trauma is necessary. Therapy is often noninvasive, allowing the craniodural defect to heal spontaneously. However, if enough air collects within the cranium or the brain itself, a mass effect with marked midline shift may develop. This is referred to as tension pneumocephlus and may result in herniation symdrome. Prompt decompression is essential.