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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  ;  김좌경  ;  장성일  ;  김지현  ;  박형천  ;  하성규 
Citation
 Korean Journal of Medicine, Vol.80(5) : 600-604, 2011 
Journal Title
Korean Journal of Medicine
ISSN
 1226-329X 
Issue Date
2011
Keywords
Sodium hypochlorite ; Poisoning ; Acidosis ; Hypernatremia ; Hemodialysis
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.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jwa Kyung(김좌경)
Kim, Jie-Hyun(김지현) ORCID logo https://orcid.org/0000-0002-9198-3326
Park, Hyeong Cheon(박형천) ORCID logo https://orcid.org/0000-0002-1550-0812
Jang, Sung Ill(장성일) ORCID logo https://orcid.org/0000-0003-4937-6167
Ha, Sung Kyu(하성규)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94773
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