심근효소 상승 유무에 따른 목맴 환자들의 임상적 특성

Clinical Study of Patients with Elevated Troponin-I in Near-hanging Injury

  • 신현구 (한양대학교 의과대학 응급의학교실) ;
  • 박준범 (한양대학교 의과대학 응급의학교실) ;
  • 김창선 (한양대학교 의과대학 응급의학교실) ;
  • 오재훈 (한양대학교 의과대학 응급의학교실) ;
  • 조영석 (한양대학교 의과대학 응급의학교실) ;
  • 박세훈 (순천향대학교 의과대학 응급의학교실) ;
  • 제상모 (한양대학교 의과대학 응급의학교실) ;
  • 최혁중 (한양대학교 의과대학 응급의학교실) ;
  • 강보승 (한양대학교 의과대학 응급의학교실) ;
  • 임태호 (한양대학교 의과대학 응급의학교실) ;
  • 강형구 (한양대학교 의과대학 응급의학교실)
  • Shin, Hyun Goo (Department of Emergency Medicine, College of Medicine, Hanyang University) ;
  • Park, Jun Bum (Department of Emergency Medicine, College of Medicine, Hanyang University) ;
  • Kim, Chang Sun (Department of Emergency Medicine, College of Medicine, Hanyang University) ;
  • Oh, Jae Hoon (Department of Emergency Medicine, College of Medicine, Hanyang University) ;
  • Cho, Young Suk (Department of Emergency Medicine, College of Medicine, Hanyang University) ;
  • Park, Sae Hoon (Department of Emergency Medicine, College of Medicine, Soonchunhyang University) ;
  • Je, Sang Mo (Department of Emergency Medicine, College of Medicine, Hanyang University) ;
  • Choi, Hyuk Joong (Department of Emergency Medicine, College of Medicine, Hanyang University) ;
  • Kang, Bo Seung (Department of Emergency Medicine, College of Medicine, Hanyang University) ;
  • Lim, Tae Ho (Department of Emergency Medicine, College of Medicine, Hanyang University) ;
  • Kang, Hyung Goo (Department of Emergency Medicine, College of Medicine, Hanyang University)
  • 투고 : 2012.07.04
  • 심사 : 2012.10.04
  • 발행 : 2012.12.31

초록

Purpose: This study aimed to recognize the frequency of near-hanging patients with elevated Troponin-I (Tn-I), to obtain information necessary for treatment and prediction of prognosis by analyzing the clinical feature of near-hanging patients, and to evaluate the relevance of elevated Tn-I to abnormal result of other cardiac-related examinations. Methods: A retrospective review for the near-hanging patients, clinical record was conducted at two urban training hospitals between April, 2001 and December, 2011. We divided included patients into two groups, which one with elevated Tn-I level ($Tn-I{\geq}0.1ng/dL$) and one without it, and compared the differences in initial vital signs, cardiac enzyme tests, an electrocardiogram, echocardiography, chest X-ray, and the clinical outcomes. Results: A total of 39 patients were included, out of them, 14 patients showed rise in Tn-I level. The length of hospital stay and ICU hospitalization was more prolonged in the patient group with elevated Tn-I level than non-elevated group. As well as the incidence of endotracheal intubation and abnormal findings in echocardiography or chest X-ray was higher in the Tn-I elevated group, which is statistically significant. Conclusion: The rising of serum Tn-I level in near-hanging patients were not uncommonly observed. We believe that the cardiac-related test including Tn-I is necessary for near-hanging patients, and those who are shown abnormal result in cardiac-related test may need close observation and intensive care.

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