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Beta-fluoroethyl acetate 음독 1례
신동운,박준석,김아진,노준영,김경환,Shin, Dong-Wun,Park, Jun-Seok,Kim, Ah-Jin,Roh, Jun-Young,Kim, Kyung-Hwan 대한임상독성학회 2007 대한임상독성학회지 Vol.5 No.2
The emergence of anticoagulant rodenticides in the 1950's resulted in an epochal reduction in the use of all other agents. It is estimated that anticoagulant rodenticides constitute 95 percent of all rodenticides now in use. However, the advent of rodent resistance to these agents has led to a return to use of some other non-anticoagulant types of rodenticides. Older non-anticoagulant rodenticides have been stored in basements, garages, and barns and are still in use in some regions of the United States and in other countries. We report a case of non-anticoagulant rodenticide (beta-fluoroethyl acetate) poisoning.
김경환,박준석,신동운,노준영,김혜진,구홍두,조진경,김아진,Kim Kyung-Hwan,Park Jun-Soek,Shin Dong-Wun,Rho Jun-Young,Kim Hey-Jin,Gu Hong-Du,Cho Jin-Kyung,Kim Ah-Jin 대한임상독성학회 2006 대한임상독성학회지 Vol.4 No.1
Purpose: In the year of 2005, it enforced the basic study for establishing program of Poison Control Center by National Institute of Toxicologic Research. The object of our survey is to analyze the characteristics of intoxication from the City of Goyang by same protocol. Methods: We retrospectively reviewed the data of medical records of the intoxication patient in the two hospitals of the Goyang from 2004 June 1st to 2005 May 31th. The investigation protocol applied the TESS report form which was used from the Basic study for establishing program of Poison Control Center. Results: The intoxication patients were total 269 persons, the patients of A hospital were 184 persons, B hospital were 185 persons. The most common intoxication materials were medicines, in afterwords it was an agricultural chemical. The most common place of intoxication was the home. The intentional suicidal attempts in the reason of intoxication were 51.2%. The rate of the patients who discharges from the emergency department was 50.4% and death rate was 4.3%. Conclusion: We concluded that the continuous and systemic report and analysis should be accomplished from the Goyang area.
일개 병원에서의 일산화탄소 중독증으로 내원한 환자에 대한 분석
김경환,김아진,신동운,노준영,Kim Kyung Hwan,Kim Ah Jin,Shin Dong Wun,Rho Jun Young 대한임상독성학회 2005 대한임상독성학회지 Vol.3 No.1
Purpose: The frequency of carbon monoxide poisoning has been decreased in the interior of the Korea. But occasionally it is occurred and the risk of exposure is high in working place so far. Because of the characteristics of gas, the detection of exposure and poisoning could be delayed and fatality is high. We should apprehend of carbon monoxide poisoning. So we would report analysis of patients with carbon monoxide poisoning. Methods: A retrospective review of CO poisoned patients visited emergency department from January 2000 to December 2004 was conducted. Results: 24 patients were enrolled. Their average of age was $37.6\pm20.9$ years old and COHb was $19.4\pm13.32\%$. The blood level of initial COHb and mental status on arrival were not correlated each other. The blood level of initial COHb and loss of consciousness were not correlated, too. Initial electrocardiography (EKG) was not correlated with cardiac enzymes such as CK-MB and troponin I. But base excess was correlated with mental status on arrival and complication such as rhabdomyolysis. Hyperbaric oxygen therapy was correlated with base excess and mental status on arrival. Conclusion: The clinical features of carbon monoxide poisoning are nonspecific. For proper diagnosis, it is important that we should consider patient's environment and take patient's history carefully. The blood level of initial COHb does not reflect severity of poisoning accurately. So We should determine the treatment of choice depending on patient's status.
백선희,김경환,박준석,신동운,노준영,이경미,김아진,Baek, Seon-Hee,Kim, Kyung-Hwan,Park, Jun-Seok,Shin, Dong-Wun,Roh, Jun-Young,Lee, Kyoung-Mi,Kim, Ah-Jin 대한임상독성학회 2009 대한임상독성학회지 Vol.7 No.1
Formalin is a water-soluble, colorless, pungent, irritating and highly reactive gas. A 40% solution of formaldehyde in water, also known as formalin, is used as a disinfectant, antiseptic, deodorant, tissue fixative and embalming fluid. Ingestion can lead to immediate deleterious effects on almost all systems of the body including gastrointestinal tract, central nervous system, cardiovsacular system and hepato-renal system, causing gastrointestinal hemorrhage, cardiovsacular collapse, unconsciousness or convulsions, severe metabolic acidosis and acute respiratory distress syndrome. We treated a 39-year-old woman who ingested 300 ml formalin in a suicidal attempt. Despite hemodialysis, death occurred after 23 h.
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.
김아진,김경환,박준석,신동운,Kim Ah Jin,Kim Kyung Hwan,Park Jun Seok,Shin Dong Wun 대한임상독성학회 2005 대한임상독성학회지 Vol.3 No.2
Sodium bromate or potassium bromate has been used as hair cold neutralizer. Sodium bromate intoxications occurred in children incidentally early days of marketing, but recently in adult suicidally. This chemical intoxication result in renal failure, ototoxicity, neurotoxicity, hemolytic anemia and so on. We experienced a 39-year-old woman of hairdresser with non-oliguric acute renal failure after ingestion hair neutralizer 500 ml. She received hemodialysis 3 times and discharged without complication on 8th admission days.
김훈 ( Hoon Kim ),김강호 ( Kang Ho Kim ),신동운 ( Dong Wun Shin ),김준식 ( Jun Sig Kim ),백광제 ( Kwang Je Baek ),한승백 ( Seung Baik Han ) 대한외상학회 2004 大韓外傷學會誌 Vol.17 No.2
Traumatic spinal epidural hematomas are uncommon and may present symptoms of spinal cord compression, usually requiring emergent surgical treatment. We present a post-traumatic thoracic spinal epidural hematoma which was detected 10 days after blunt trauma. He had no neurological deficits but only pain on T2~T5 area. He was treated conservatively and showed resolving thoracic spinal epidural hematoma on magnetic resonance imaging after 2 weeks follow-up. He showed no neurological deficits and improved.
한국 소아청소년 중독 환자의 경향: 국가응급진료정보망을 이용한 후향적 연구
이경재 ( Kyeongjae Lee ),김경환 ( Kyung Hwan Kim ),신동운 ( Dong Wun Shin ),박준석 ( Junseok Park ),김훈 ( Hoon Kim ),전우찬 ( Woochan Jeon ),박준민 ( Joon Min Park ),김현종 ( Hyunjong Kim ) 대한임상독성학회 2017 대한임상독성학회지 Vol.15 No.2
Purpose: This study reports the clinical features of infant, child, school aged and adolescent patients treated for acute poisoning in nationwide emergency departments (EDs). Methods: We retrospectively analyzed clinical data pertaining to patients under 19 years of age who were treated for acute poisoning in nationwide EDs from 2013 to 2015. The data were collected by the National Emergency Department Information System (NEDIS). All patients were divided into three groups: ‘Infant and child group’ (0 to 5 years), ‘school age group’ (6 to 12 years) and ‘adolescent group’ (13 to 18 years). General characteristics, Korea Standard Classification of Disease 7<sup>th</sup> (KCD-7) codes and results of care were collected. Results: There were 14,500 pediatric poisoning cases during the study period. The distribution of patient age was bimodal with two peaks among infant, child and adolescent group. The proportion of alert mentality at the ED visit of the infant and child group was 99.3%, while that of the adolescent group was 86.4%. The proportion of intentional intoxication was higher in the adolescent group (40.7%) than other age groups. Among children less than 13 years of age, various poisonous substances and therapeutic drugs were common. Conclusion: There were some clinical differences in acute poisoning patients between age groups. It is necessary to establish a preventive plan considering characteristics by age. Since the KCD-7 code has limitations in analyzing the characteristics of poisoning patients, it is necessary to consider the registration system of poisoning patients.
2세 미만 소아의 경도 두부 외상 후 두개골 골절 및 두개내 병변의 위험 인자
정종일 ( Jong Il Jeong ),김아진 ( Ah Jin Kim ),신동운 ( Dong Wun Shin ),노준영 ( Jun Young Rho ),김경환 ( Kyung Hwan Kim ),김홍용 ( Hong Yong Kim ),박준석 ( Jun Seok Park ) 대한외상학회 2007 大韓外傷學會誌 Vol.20 No.2
Purpose: This research was performed to determine which clinical signs and symptoms of brain injury are sensitive indicators of skull fracture (SF) and intracranial injury (ICI) in head injured children. Methods: We conducted a prospective study of minor head trauma in children younger than 2 years of age for a 1-year period. Skull radiographs, brain computed tomography (CT), and data forms, including mechanism of injury, symptoms, physical findings, and hospital course, were completed for each child. Results: Of 137 study subjects, 17 (12.4%) had SF/ICI. Falls were the most common mechanism of injury, and heights of fall above 1 meter were associated with incidence of SF/ICI (p<0.05). Scalp abnormalities were not associated with incidence of SF/ICI. As for clinical symptoms, lethargy and a grouping of features (irritability & vomiting) were associated with incidence of SF/ICI (p<0.05). The incidence of seizure, loss of consciousness, vomiting, irritability, and scalp abnormality did not differ significantly between those with normal radiologic findings and those with SF/ICI. Among asymptomatic patients, 11 (14.5%) patients had SF/ICI, and among patients with normal scalp findings, 9 (12.7%) patients had SF/ICI. Conclusion: Clinical signs and symptoms, except for lethargy and a grouping of features (irritability & vomiting), were not sensitive predictors of SF/ICI. Nevertheless, SF/ICI occurred among normal children. In such a case, a liberal policy of CT scanning is warranted. (J Korean Soc Traumatol 2007;20:83-89)