Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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A Clinical Analysis of Patients Who Visited Emergency Department due to Chemical Incident Occurred at Industrial Place: A Retrospective Study

산업장 화학 사고로 응급실에 내원한 환자의 임상적 고찰: 일개병원의 후향적 연구

  • Shin, Hee Jun (Department of Emergency Medicine, Soonchunhyang University Gumi Hospital) ;
  • Oh, Se Kwang (Department of Emergency Medicine, Soonchunhyang University Gumi Hospital) ;
  • Yoo, Byeong Dai (Department of Emergency Medicine, Soonchunhyang University Gumi Hospital) ;
  • Jun, Duck Ho (Department of Emergency Medicine, Soonchunhyang University Gumi Hospital) ;
  • Lee, Dong Ha (Department of Emergency Medicine, Soonchunhyang University Gumi Hospital) ;
  • Woo, Kuck Hyeun (Environmental Health Center, Soonchunhyang University Gumi Hospital) ;
  • Yoon, Seong Yong (Environmental Health Center, Soonchunhyang University Gumi Hospital) ;
  • Choi, Sung Yong (Environmental Health Center, Soonchunhyang University Gumi Hospital)
  • 신희준 (순천향대학교 구미병원 응급의학과) ;
  • 오세광 (순천향대학교 구미병원 응급의학과) ;
  • 유병대 (순천향대학교 구미병원 응급의학과) ;
  • 전덕호 (순천향대학교 구미병원 응급의학과) ;
  • 이동하 (순천향대학교 구미병원 응급의학과) ;
  • 우극현 (순천향대학교 구미병원 환경보건센터) ;
  • 윤성용 (순천향대학교 구미병원 환경보건센터) ;
  • 최성용 (순천향대학교 구미병원 환경보건센터)
  • Received : 2015.11.02
  • Accepted : 2015.12.10
  • Published : 2015.12.31
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Abstract

Purpose: The purpose of this study is to understand what kinds of chemical substances have been used annually and to investigate incidents that occurred due to chemical hazard release and to analyze statistically clinically chemical injury patients who visited one regional emergency medical center in Gumi city with documented references review. Methods: Annual chemical waste emission quantity (Kg/Year) (Cwep) was reproduced using national web site data governed by the Ministry of Environment and 5 years (from 1 .Jan. 2010 to 31. Dec. 2014) of medical records of chemical injury patients who visited our emergency department were reviewed retrospectively. By applying exclusion criteria, 446 patients of 460 patients were selected. Results: Dichloromethane, Toluene, Trichloroethylene, and Xylene were always included within Top 5 of Cweq. Six cases of chemical incidents were reported and in 3 of 6 cases involving Hydrogen fluoride were included during the study period. Male gender and twenties were the most prevalent group. Injury evoking chemicals were Hydrogen fluoride, unknown, complex chemicals (over 2 substances) in sequence. The most frequent site of wounds and injuries was the respiratory tract. Gas among status, intoxication among diagnosis, and discharge among disposition was most numerous in each group. Conclusion: There have been no uniform clinical protocols for chemical wounds and injuries due to various kinds of chemicophysical properties and ignorance of antidotes. Therefore conduct of a multicenter cohort study and experiments for ruling out chemicals according to chemicophysical priority as well as development of antidotes and clinical protocols for chemical injury patients is needed.

Keywords

References

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