황화수소에 집단 노출되어 치료한 환자들에 대한 임상 보고와 문헌 고찰
Clinical report and literature review on patients treated with group exposure to hydrogen sulfide
김민수, 강지훈, 김양원, 박창민, 박철호, 윤유상, 지재구,
소속 상세정보
김민수 ( Kim Min-Su )
인제대학교 의과대학 응급의학교실
강지훈 ( Kang Ji-Hun )
인제대학교 의과대학 응급의학교실
김양원 ( Kim Yang-Weon )
인제대학교 의과대학 응급의학교실
박창민 ( Park Chang-Min )
인제대학교 의과대학 응급의학교실
박철호 ( Park Chul-Ho )
인제대학교 의과대학 응급의학교실
윤유상 ( Yoon Yoo-Sang )
인제대학교 의과대학 응급의학교실
지재구 ( Ji Jae-Gu )
인제대학교 의과대학 응급의학교실
KMID : 0385920200310010017
Abstract
Objective: This study examined the clinical manifestations, treatment, and prognostic factors of hydrogen sulfide intoxication.
Method: Twelve cases of hydrogen sulfide leaking from a wastewater treatment company in Sasang-gu, Busan were reviewed. The demographic characteristics, initial symptoms, treatment, complications, and long-term prognosis were reviewed. The Life Science Ethics Review Committee approved this study.
Results: The majority of the 12 cases were male (83%) with an average age of 38 years. Three of the 12 cases, who had been exposed to hydrogen sulfide, died (25%), and four had poor outcomes (33%). The incidence of pulmonary edema was significantly higher in the poor prognosis group, but the incidence of conjunctivitis and pre-hospital cardiac arrest was similar. The lactic acid concentration in the poor prognosis group was higher than the good prognosis group. In the poor prognosis group, the Glasgow coma scale was lower than that in the good prognosis group.
Conclusion: A poor outcome occurred in 33% of the 12 people exposed to hydrogen sulfide in Busan 2018. In the poor outcome group, the initial Glasgow Coma Scale was lower, the pulmonary edema rate and the initial serum lactate level were higher than in the good outcome group.
키워드
Hydrogen sulfide; Occupational injuries; Brain injuries
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