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급성 복통 환자에서 C - Reactive Protein 의 유용성
정성필(Sung Pil Chung),황태식(Tae Sik Hwang),고재욱(Jae Wook Ko),장석준(Seok Joon Jang),정상원(Sang Won Chung),박준석(Jun Seok Park) 대한응급의학회 2000 대한응급의학회지 Vol.11 No.1
Background: Abdominal pain is one of the most common complaints in the emergency department and the evaluation presents an extraordinary challenge to the emergency physicians` skill. C-reactive protein, an acute phase protein which is increased in the presence of inflammation in various clinical conditions, has been proven useful in assessing disease severity, in monitonng the development of complications, and in evaluating the response to specific treatments. So we tried to determine whether CRP offers an advantage over other clinical or laboratory variables for decision-making in the management of acute abdominal pain in the emergency department. Method: Patients who came to a University Hospital ED with acute abdominal pain, between, September 1, 1998 and November 30, 1998, were included in this study, Data collection included age, sex, duration of symptom, location of pain, and laboratory data(white blood cell count, portion of neutrophil, ESR, CRP, amylase). Result: This study included 85 patients, 34 of whom were men. The mean age was 36.9±19.1% years CRP might be useful to detect the serious condition, sensitivity 81%, but more useful to differentiate normal condition from serious condition in acute abdominal pain patients, specificity 83%. Conclusion: CRP is an useful indicator of decision-making to abdominal patients in the emergency department. Hospitalization or operation is very unlikely when CRP value is normal.
활성탄 , Actidose Aqua(R) 및 Fuller`s earth 간의 약물 흡착력 비교
정성필(Sung Pil Chung),황태식(Tae Sik Hwang),김승호(Seung Ho Kim),최영환(Young Hwan Choi),장문준(Wen Jeon Chang),오진호(Jin Ho Oho) 대한응급의학회 2000 대한응급의학회지 Vol.11 No.1
Background: Activated charcoal has been widely used as an adsorbent for the management of drug intoxicated patients in the emergency department(ED). Although there are several commercial ready-mixed charcoal suspension preparations in the market, we are using custom-made suspension from hospital grade bulk charcoal power. We designed this study to compare the adsorptive capacity of the Acudose AquaR which is a commercial charcoal product, Fuller`s earth, and custom-made activated charcoal used in our ED. Methods: First, We performed modified USP methylene blue adsorption test which is a standard adsorption test for activated charcoal. Then, the drug adsorption test for Phenobarbital, acetaminophen, salicylate, and ammophylline was done. Graded amount of three adsorptives were added to the stock solutions of each drug. The adsorption test were performed as follows. The vials containing drugs and adsorptives were shaken for 30 minutes to ensure adsorption equilibrium, then the suspension was filtered through in-line filter. The filtrates were analyzed by ultraviolet spectroscopy to determine the residual drug concentrations Finally we examined and compared the surface area and the structures of activated charcoal and Fuller`s earth using scanning election microscopy. Results: In methylene blue adsorption test, the adsorption rate was 60.1% in Actidose AquaR and 59.0% in custom-made charcoal, and 70.2% in Fuller`s earth. For the phenobarbital, acetaminophen, and salicylate, the adsorption rate of Actidose AquaR and custom-made charcoal was greater than 90% with the ratio of adsorptives to drugs over 10.1 For aminophylline, two charcoal products showed excellent adsorption in 5:1 ratio. But Fuller`s earth showed poor adsorption in all ranges. Conclusion: Custom-made activated charcoal showed a comparable adsorption capacity to Actidose AquaR. Fuller`s earth showed a poor performance to be used as a substitute for activated charcoal in acute drug poisoning otherwise paraquat.