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중증 대사성 산증을 동반한 차아염소산나트륨(락스) 중독 1예

Other Titles
 A Case of Severe Metabolic Acidosis Associated with Sodium Hypochlorite (Bleach) Poisoning Treated by Hemodialysis 
Authors
 배성창 ; 문성진 ; 하성규 ; 박형천 ; 김지현 ; 장성일 ; 김좌경 
Citation
 Korean Journal of Medicine (대한내과학회지), Vol.80(5) : 600~604, 2011 
Journal Title
 Korean Journal of Medicine (대한내과학회지) 
ISSN
 1226-329X 
Issue Date
2011
Abstract
Sodium hypochlorite (NaOCl) is commonly used as a disinfectant or bleaching agent. The ingestion of household bleach is often benign, with minimal irritating effect on the mucosa. Occasionally, however, it can be life-threatening. Here, we report an unusual case of acute poisoning involving household bleach with a near-fatal outcome that was treated with intense hemodialysis. A 42-year-old woman presented to the emergency room after ingesting 1 liter of 5% household bleach. Ten hours later, her metabolic acidosis, hypernatremia, hyperchloremia, and renal failure deteriorated gradually, despite aggressive medical treatment. Rapid, effective correction of the metabolic acidosis and electrolytes imbalance was needed and hemodialysis was performed immediately. After 3 days of dialysis, the laboratory imbalance was completely corrected.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/94773
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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