포르말린에 의한 급성 중독 1례

A Case of Intoxication of Ingested Formalin

  • 백선희 (인제대학교 의과대학 일산백병원 응급의학과) ;
  • 김경환 (인제대학교 의과대학 일산백병원 응급의학과) ;
  • 박준석 (인제대학교 의과대학 일산백병원 응급의학과) ;
  • 신동운 (인제대학교 의과대학 일산백병원 응급의학과) ;
  • 노준영 (인제대학교 의과대학 일산백병원 응급의학과) ;
  • 이경미 (인제대학교 의과대학 서울백병원 응급의학과) ;
  • 김아진 (인제대학교 의과대학 일산백병원 응급의학과)
  • Baek, Seon-Hee (Departments of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Kim, Kyung-Hwan (Departments of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Park, Jun-Seok (Departments of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Shin, Dong-Wun (Departments of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Roh, Jun-Young (Departments of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Lee, Kyoung-Mi (Departments of Emergency Medicine, Inje University Seoul Paik Hospital) ;
  • Kim, Ah-Jin (Departments of Emergency Medicine, Inje University Ilsan Paik Hospital)
  • 발행 : 2009.06.12

초록

Formalin is a water-soluble, colorless, pungent, irritating and highly reactive gas. A 40% solution of formaldehyde in water, also known as formalin, is used as a disinfectant, antiseptic, deodorant, tissue fixative and embalming fluid. Ingestion can lead to immediate deleterious effects on almost all systems of the body including gastrointestinal tract, central nervous system, cardiovsacular system and hepato-renal system, causing gastrointestinal hemorrhage, cardiovsacular collapse, unconsciousness or convulsions, severe metabolic acidosis and acute respiratory distress syndrome. We treated a 39-year-old woman who ingested 300 ml formalin in a suicidal attempt. Despite hemodialysis, death occurred after 23 h.

키워드