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Acetaminophen 중독에 의한 급성 간 부전 환자에서 Molecular Adsorbents Recirculating System을 이용한 치험 1례
양병근 ( Byung Keun Yang ),유제성 ( Je Sung You ),주영선 ( Young Seon Joo ),정성필 ( Sung Phil Chung ),이한식 ( Hahn Schick Lee ) 대한임상독성학회 2014 대한임상독성학회지 Vol.12 No.1
We report on a patient who developed acute hepatic failure despite intravenous N-acetyl cysteine therapy who was treated with the Molecular Adsorbents Recirculating System (MARS). She presented 20 hours after the ingestion of 13 g of acetaminophen. The MARS is based on albumin dialysis principle which can be applied for patients with acute poisoning from drugs that have high protein-binding capacity because of its ability to selectively remove from circulation protein-bound toxins. The clinical toxicologist should be consider this technology when treating patients with hepatic failure following acetaminophen poisoning.