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의도성 여부를 중심으로 한 일산화탄소 중독환자의 임상적 특성

Other Titles
 Clinical Characteristics of Intentional Carbon Monoxide Poisoning 
Authors
 조민기  ;  김양원  ;  이경룡  ;  이경우  ;  이장영  ;  조규종  ;  조준호  ;  김현종  ;  김승환  ;  정성필  ;  이한식 
Citation
 Journal of the Korean Society of Clinical Toxicology (대한임상독성학회지), Vol.10(2) : 73-79, 2012 
Journal Title
 Journal of the Korean Society of Clinical Toxicology  (대한임상독성학회지) 
ISSN
 1738-1320 
Issue Date
2012
Abstract
Purpose: The purpose of this study was to identify the changes in the characteristics of patients with carbon monoxide (CO) poisoning, as well as the distinctive differences in intentionally exposed patients. Methods: The medical records of CO poisoning patients, who visited nine emergency departments between January 2010 and December 2011, were reviewed retrospectively. The clinical information including age, gender, hospitalization, type of discharge, cause and location of exposure, site of onset, concentration of initial blood carboxyhemoglobin (COHb), methods of treatment and presence of neurological complications was examined. The subjects were divided into an intentional and non-intentional group and the differences between them was compared. Results: A total 209 subjects were recruited. The median age was 38 years (29~49.5 years). They frequently complained of nausea and vomiting, and the most common exposures occurred in winter, normally in the home. The cause of exposure was usually fire, followed by incomplete combustion of fuels. The median initial blood COHb was 13.15%. The proportion of intentionally exposed patients was 21%. They were significantly younger, more frequently discharged against medical advice, and showed a higher initial blood COHb level (22.85%) than the non-intentional group. Conclusion: This study suggests that those with intentional CO poisoning are normally discharged against medical advice even when they have a higher initial COHb level. An adequate explanation of the delayed neurologic sequelae and short term follow-up observation is recommended for those patients with intentional exposure.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92327
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실)
Yonsei Authors
김현종(Kim, Hyun Jong) ; 이한식(Lee, Hahn Shick) ; 정성필(Chung, Sung Pil)
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