Clinical study of the 15patients survived after acute paraquat intoxication

급성 파라콰드중독후 생존한 15예 환자의 임상적 고찰

  • Kim Dong-Woung (internal Medicine, college of Oriental Medicine Wonkwang University)
  • 김동웅 (원광대학교 한의과대학 전주한방병원 내과)
  • Published : 1999.08.29

Abstract

From January 1994 to April 1997, there was 15 survivals who was admitted to the department of internal medicine, Wonkwang Oriental Medicine' Hospital in Cheun-ju, after ingestion of paraquat, and treated with Oriental and western medicine therapy. For the patients, I investigated clinical symptoms, gastroduodenoscopy, intake by oral and parenteral route, and output by urine and stool, serum ALP, AST. ALT, Bilirubin, BUN, Creatinine level and urine analysis. On admission day, the LFT level was as follows. The serum mean ALP, AST, ALT, Total Bilirubin and Direct Bilirubin was 10.05${\pm}$2.75 KAU, 66.67${\pm}$9.88 IU/L, 43.80${\pm}$7.74 IU/L, 1.89${\pm}$1.22 ㎎/dl and 1.10${\pm}$1.14 ㎎/dl respectively. After that day, administered Gamdutang and checked the mean LFT level regullary. Until the 3rd day, the mean ALP, AST, ALT, Total Bilirubin and Direct Bilirubin level was 11.0l${\pm}$3.16 KAU, 56.47${\pm}$7.19 IU/L, 59.00${\pm}$7.57 IU/L, 2.54${\pm}$1.78 ㎎/dl, 1.64${\pm}$1.59 ㎎/dl respectively. From 4th day to 7th day, the mean ALP; AST, ALT, Total Bilirubin and Direct Bilirubin level was 12.51${\pm}$3.49 KAU, 77.85${\pm}$7.17 IU/L, 58.00${\pm}$9.09 IU/L, 2.54${\pm}$1.97 ㎎/dl, and 1.80${\pm}$1.81 ㎎/dl respectively. From 8th day to 10th day, the mean ALP, AST, ALT, Total Bilirubin and Direct Bilirubin level was 12.43${\pm}$3.14 KAU, 41.13${\pm}$6.49 IU/L, 50.40${\pm}$7.17 IU/L, 1.66${\pm}$1.90 ㎎/dl and 1.14${\pm}$1.50 ㎎/dl respectively. From 11th day to 14th day, the mean ALP, AST, ALT, Total Bilirubin and Direct Bilirubin level was 12.30${\pm}$3.25 KAU, 31.07${\pm}$3.85 IU/L, 43.33${\pm}$5.49 IU/L, 1.62${\pm}$1.95 ㎎/dl, 1.17${\pm}$1.71 ㎎/dl respectvely. On admission day, the mean RFT level as follows. Serum BUN and Creatinine level was 28.73${\pm}$5.19 ㎎/dl and 1.82${\pm}$1.27 ㎎/dl respectively. After that day, administered Gamdutang and checked the mean RFT level regullary. Until the 3rd day, the mean BUN and Creatinine level was 32.12${\pm}$5.65 ㎎/dl and 2.31${\pm}$0.45 ㎎/dl respectively. From 4th day to 7th day, the mean BUN and Creatinine level was 31.07${\pm}$5.47 ㎎/dl and 1.92${\pm}$0.79 ㎎/dl respectively. From 7th day to 10th day, the mean BUN and Creatinine level was 17.47${\pm}$3.57 ㎎/dl and 1.33${\pm}$0.59 ㎎/dl respectively. From 11th day to 14th day, the mean BUN and Creatinine level was 11,93${\pm}$3.16 ㎎/dl, 1.27${\pm}$0.38 ㎎/dl respectively.

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