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유기용제 흡입중독후 의식소실로 발생한 중증의 저체온증 치유 1례
양관모 ( Kwan Mo Yang ),권태욱 ( Tae Wook Kwon ),김형국 ( Hyung Kook Kim ),박규남 ( Kyu Nam Park ),김세경 ( Se Kyeung Kim ) 대한응급의학회 1997 대한응급의학회지 Vol.8 No.2
A 19-year-old man had a good neurologic recovery from a severe hypothermia(19C) and a prolonged coma following active intemal rewarming. From inhaling hydrocarbons, he was left unconscious on the cold floor for 24 hours. As soon as the patient was brought into the emergency medical center, he was early evaluated and treated aggressively. 'ECG showed Osborn(J) wave on all leads. The temperature of patient was increased by 2-3C per hour through active external rewarming (by heating blankets and warm bag) and active intemal rewarming (by airway rewarming, warmed IV fluids, gastrointestinal tract irrigation, and bladder irrigation). The temperature reached 36C after 6 hours. Active internal rewarming provides rapid core rewarming with the additional benefit of circulatory support during the period of cardiac instability.
가토의 골수내 식염수 주입이 말초혈액 제변수에 미치는 영향
박규남 ( Kyu Nam Park ),이원재 ( Won Jae Lee ),황주일 ( Ju Il Hwang ),이기중 ( Kee Joong Lee ),김세경 ( Se Kyeung Kim ),김병기 ( Byeung Ki Kim ),김인철 ( In Chul Kim ) 대한응급의학회 1992 대한응급의학회지 Vol.3 No.2
Study Objective:To examine the effects of intraosseous saline infusion on hematologic parameters. Design and Setting:Eight New Zealand White rabbits were anesthized intramuscular ketamine injection, An initial blood sample was withdrawn from an earlobe artery under introduction of anesthesia. An 18 gauge intraosseous(10) needle was inserted into proximal tibia of rabbits, and 10 mL/kg of normal saline was infused over two minutes after the intraosseus needle insertion. Measurements:Complete blood counts were performed on the blood sampled. The light microscopic examinationn of the peripheral blood smear was perfomed by clinical pathologic staff. Results:No statistically significant differences were found in hematologic paramenters from samples drawn before and after intraosseous infusion. Conclusion:We advocat,e less caution in the interpretation of hematologic studies performed on blood samples obtained soon after an intraosseous infusion.
최승필,권태욱,황주일,김세경 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2
Objective: Several studies suggest that a low cholesterol concentration is associated with a greater than normal risk of mortality from suicide. The authors sought to determine whether a low cholesterol level is associated with a history of serious suicide attempts among drug ingested ED patients. Method: serum cholesterol levels of attempted suicide of 89 patients, aged 20-72 years, were obtained from the ED admission biochemical profiles. Results: The seriousness of suicide attempt was associated with low serum cholesterol concentration in all age subgroups. Conclusions: Low cholesterol concentration should be futher investigated as a potential biological marker of suicide risk.
심한 저칼륨혈증을 동반한 갑상선 중독성 주기성 마비 2례
유승진,최승필,최경호,오동렬,황주일,나병호,김세경 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2
Thyrotoxic periodic paralysis occurs primarily in Orientals with an overwhelming male preponderance and a higher association of specific HLA antigens. Clinical manifestations include onset after high carbohydrate ingestion or heavy exertion with progressive symmetric weakness leading to flaccid paralysis of the extremities and other muscle groups, lasting several hours. Other precipitating facters include trauma, infection, administration of epinephrine, thyroid hormone, or corticosteroid. If hypokalemia is present, potassium administration may help abort the attack. Although propranolol can be efficacious in preventing further episodes, the only definitive treatment is euthyroid state. The pathophysiology is still controversal, but reflects altered potassium and calcium dynamics as well as certain morphologic characteristics within the muscle unit itself. We discribed two patients with thyrotoxic periodic paralysis who had a no familial history of paralysis and had a decreased level of serum potassium during attack.
유기용제 흡입중독후 의식소실로 발생한 중증의 저체온증 치유 1례
박규남,김형국,양관모,권태욱,김세경 대한응급의학회 1997 대한응급의학회지 Vol.8 No.2
A 19-year-old man had a good neurologic recovery from a severe hypothermia(19℃) and a prolonged coma following active internal rewarming. From inhaling hydrocarbons, he was left unconscious on the cold floor for 24 hours. As soon as the patient was brought into the emergency medical center, he was early evaluated and treated aggressively. ECG showed Osborn(J) wave on all leads. The temperature of patient was increased by 2-3℃ per hour through active external rewarming (by heating blankets and warm bag) and active internal rewarming (by airway rewarming, warmed IV fluids, gastrointestinal tract irrigation, and bladder irrigation). The temperature reached 36℃ after 6 hours. Active internal rewarming provides rapid core rewarming with the additional benefit of circulatory support during the period of cardiac instability.
가토의 골수내 식염수 주입이 말초혈액 제변수에 미치는 영향
황주일,김세경,이원재,이기중,김병기,박규남,김인철 大韓應急醫學會 1992 대한응급의학회지 Vol.3 No.1
Study Objective: To examine the effects of intraosseous saline infusion on hematologic parameters. Design and Setting: Eight New Zealand White rabbits were anesthized intramuscular ketamine injection, An initial blood sample was withdrawn from an earlobe artery under introduction of anesthesia. An 18-gauge intraosseous(10) needle was inserted into proximal tibia of rabbits, and 10 mL/kg of normal saline was infused over two minutes after the intraosseus needle insertion. Measurements: Complete blood counts were performed on the blood sampled. The light microscopic examination of the peripheral blood smear was perfomed by clinical pathologic staff. Results: No statistically significant differences were found in hematologic paramenters from samples drawn before and after intraosseous infusion. Conclusion: We advocate less caution in the interpretation of hematologic studies performed on blood samples obtained soon after an intraosseous infusion.