Tuberculosis and Respiratory Diseases
- Volume 55 Issue 2
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- Pages.188-197
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- 2003
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- 1738-3536(pISSN)
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- 2005-6184(eISSN)
The Early Prognosis of Burn Patients with Elevated Initial Arterial Carboxyhemoglobin Level
초기 동맥혈 Carboxyhemoglobin 농도가 높았던 화상 환자들의 예후지표에 관한 연구
- Choi, Chang Soon (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Kim, Cheal Hong (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Kim, Keun Sook (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Lee, Tae-Yu (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Chung, Youn Son (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Eom, Kwang Seok (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Park, Young Bum (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Jang, Seung Hun (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Kim, Dong Gyu (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Park, Myung Jae (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Lee, Myung Goo (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Hyun, In-Gyu (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Jung, Ki-Suck (Department of Internal Medicine, College of Medicine, Hallym University) ;
- Kim, Jong Hyun (Department of General Surgery, College of Medicine, Hallym University)
- 최창순 (한림대학교 의과대학 내과학교실) ;
- 김철홍 (한림대학교 의과대학 내과학교실) ;
- 김근숙 (한림대학교 의과대학 내과학교실) ;
- 이태유 (한림대학교 의과대학 내과학교실) ;
- 정연손 (한림대학교 의과대학 내과학교실) ;
- 엄광석 (한림대학교 의과대학 내과학교실) ;
- 박용범 (한림대학교 의과대학 내과학교실) ;
- 장승훈 (한림대학교 의과대학 내과학교실) ;
- 김동규 (한림대학교 의과대학 내과학교실) ;
- 박명재 (한림대학교 의과대학 내과학교실) ;
- 이명구 (한림대학교 의과대학 내과학교실) ;
- 현인규 (한림대학교 의과대학 내과학교실) ;
- 정기석 (한림대학교 의과대학 내과학교실) ;
- 김종현 (한림대학교 의과대학 외과학교실)
- Published : 2003.08.30
Abstract
Background : Smoke inhalation injury is an important determinant of mortality in burn patients. The early detection of inhalation injury in burn patients is important because the incidence of respiratory failure after inhalation injury was known to be high, with hypoxemia, pneumonia, and prolonged ventilatory support being commonplace. Acute carbon monoxide poisoning was one feature of smoke inhalation. The purpose of our study were to investigate the clinical characteristics of burn patients whose initial arterial carboxyhemoglobin (COHb) level had been elevated, to assess the clinical impact of COHb for smoke inhalation injury. Methods : Among 1,416 burn patients had been admitted at our institution from August 1, 2001 to July 31, 2002, 39 patients whose initial arterial COHb level have been more than 5% were included. We compared clinical scoring system for inhalation injury, percent total body surface area (%TBSA) burn, initial chest X-ray findings, APACHE II scores and SAPS II scores between survivors (n=27) and non-survivors (n=12) retrospectively. Results : COHb level were 9.7(5.71% and 10.3(8.81% in survivors and in non-survivors (p>0.05). Mean %TBSA burn of survivors and non-survivors were
연구배경 : 고열과 유독가스에 의한 흡입 폐 손상은 화상 환자에서 화재와 관련한 주된 사망원인이다. 따라서 조기진단과 적절한 치료가 중요한데, 본 연구는 초기 COHb 농도가 증가한 화상 환자의 임상 특성 및 경과를 관찰하고 흡입 폐 손상에 대한 예후인자를 알아보고자 하였다. 방 법 : 2001년 8월부터 2002년 7월까지 응급실 통해 내원한 1,416명 환자 중 동맥혈 가스검사에서 COHb 농도가 5% 이상인 39명을 사망군(12명)과 생존군(27명)으로 나누어, 임상특성, 임상적 흡입 손상 정도, 흉부 X-선 소견, 화상 체표 면적, APACHE II 점수, SAPS II 점수 등을 후향적으로 비교하였다. 결 과 : 생존군과 사망군 사이에 COHb 농도는 각각