Tuberculosis and Respiratory Diseases
- 제53권2호
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- Pages.234-237
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- 2002
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- 1738-3536(pISSN)
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- 2005-6184(eISSN)
급성 호흡 곤란 증후군을 유발한 백반 중독 중독 1예
A Case of 'ALUM' Intoxication Leading to ARDS
- 김원장 (울산대학교 의과대학 서울아산병원 내과학교실) ;
- 박윤희 (울산대학교 의과대학 서울아산병원 약제과) ;
- 김은경 (울산대학교 의과대학 서울아산병원 내과학교실) ;
- 임채만 (울산대학교 의과대학 서울아산병원 내과학교실) ;
- 고윤석 (울산대학교 의과대학 서울아산병원 내과학교실)
- Kim, Won-Jang (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
- Park, Youn-Hee (Division of Pulmonary and Critical Care Medicine, Department of Pharmacy, Asan Medical Center, University of Ulsan College of Medicine) ;
- Kim, Eun-Kyung (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
- Lim, Chae-Man (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
- Koh, Youn-Suck (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
- 발행 : 2002.08.30
초록
대량의 백반을 자살 목적으로 음독한 증례로서 산혈증, 급성 폐손상, 다장기 부전, 불응성 쇽으로 급속히 진행하여 사망한 경우이다.
A 77-year-old female was admitted 3 hours after intentionally ingesting 5g of aluminum ammonium sulfate ('Alum') powder dissolved in water. Gastric lavage with normal saline, activated charcoal chelation, and supportive therapies were performed. She showed a high anion gap metabolic acidosis, which rapidly progressed to multiple organ failure including ARDS. The patient subsequently progressed to a refractory shock which eventually led to death.