• 제목/요약/키워드: blood gas analysis

검색결과 221건 처리시간 0.026초

급성 호흡부전으로 사망한 황산구리 중독 1례 (Acute Respiratory Failure due to Fatal Acute Copper Sulfate Poisoning : A Case Report)

  • 김건배
    • 대한임상독성학회지
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    • 제13권1호
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    • pp.36-39
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    • 2015
  • Copper sulfate is a copper compound used widely in the chemical and agriculture industries. Most intoxication occurs in developing countries of Southeast Asia particularly India, but rarely occurs in Western countries. The early symptoms of intoxication are nausea, vomiting, diarrhea, and abdominal cramps, and the most distinguishable clue is bluish vomiting. The clinical signs of copper sulfate intoxication can vary according to the amount ingested. A 75-year old man came to our emergency room because he had taken approximately 250 ml copper sulfate per oral. His Glasgow Coma Scale (GCS) score was 14 and vital signs were blood pressure 173/111 mmHg, pulse rate 24 bpm, respiration rate 24 bpm, and body temperature $36.1^{\circ}$ .... Arterial blood gas analysis (ABGa) showed mild hypoxemia and just improved after 2 L/min oxygen supply via nasal cannula. Other laboratory tests and chest CT scan showed no clinical significance. Three hours later, the patient's mental status showed sudden deterioration (GCS 11), and ABGa showed hypercarbia. He was arrested and his spontaneous circulation returned after 8 minutes CPR. However, 22 minutes later, he was arrested again and returned after 3 minutes CPR. The family did not want additional resuscitation, so that he died 5 hours after ED visit. In my knowledge, early deaths are the consequence of shock, while late mortality is related to renal and hepatic failure. However, as this case shows, consideration of early definite airway preservation is reasonable in a case of supposed copper sulfate intoxication, because the patients can show rapid deterioration even when serious clinical manifestation are not presented initially.

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Propofol이 개의 뇌파에 미치는 영향 (Effects of Propofol on Electroencephalogram in Dogs)

  • 장환수;장광호;채형규;권은주;김정은
    • 한국임상수의학회지
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    • 제17권2호
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    • pp.359-367
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    • 2000
  • The aim of this study was to evaluate the effects of propofol on cortical electroencephalogram (EEG) in seven dogs. Propofol infusion was accomplished from low concentration to high concentration in series, and each concentration was infused for 20 minutes (M0: 0, M0.5: 0.5, M1.0:1.0, and M1.5: 1.5 mg/kg/min of infusion rate). EEG was recorded via needle electrode placed at Cz, which was applied to International 10-20 system. Arterial blood pressure. blood gas analysis and ECG were also measured. Hoemodynamics, Pa$CO_2$, PaO$_2$, heart rate and respiratory rate were variable, but were net significant(p>0.05). The power spectra of EEG in every concentration was compared wish those of control (MO). The powers at a1l frequencies at M1.0 and Ml.5 were decreased. Especially, the powers of the frequencies over 20 Hz were significantly decreased (p<0.O5). Powers at frequencies between 8 and 15Hz at MO.S were significantly increased (p<0.05) in response to the painful stimuli. It was inferred that they may reflect activity of the brain which is consciously processing the external Stimuli. Like the Power spectra, al1 the band powers of He EEG ($\delta$ 1-4, $\theta$4-8, $\alpha$ 8-13, $\beta$L13-21. $\beta$H 21-30, \ulcorner 30-50, and total 1-5OHz) were decreased in proportion to the increase of infusion rate at M1 .0 and M1.5. Especially, decrease of $\beta$H and ${\gamma}$ were significant(p<0.01). At M0.5, $\alpha$ band was significantly increased(p<0.05) among all the bands. Seizure activities which were concide with occurrence of spike wave were shown in all dogs at Ml .0 and M1.5.

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Methemoglobinemia caused by a low dose of prilocaine during general anesthesia

  • Shibuya, Makiko;Hojo, Takayuki;Hase, Yuri;Kimura, Yukifumi;Fujisawa, Toshiaki
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제21권4호
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    • pp.357-361
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    • 2021
  • Methemoglobinemia is a blood disorder in which an abnormal amount of methemoglobin is produced, and prilocaine is one of the drugs that can cause this disorder. The maximum recommended dose of prilocaine is 8 mg/kg. We report a case of methemoglobinemia caused by the administration of 4.2 mg/kg of prilocaine without other methemoglobinemia-inducing drugs during general anesthesia. A 17-year-old girl with hyperthyroidism and anemia was scheduled to undergo maxillary sinus floor elevation and tooth extraction. The patient's peripheral oxygen saturation (SpO2) decreased from 100% at arrival to 95% after receiving prilocaine with felypressin following induction of general anesthesia. However, the fraction of inspired oxygen was 0.6. Blood gas analysis showed that the methemoglobin level was 3.8% (normal level, 1%-2%), fractional oxygen saturation was 93.9%, partial pressure of oxygen was 327 mmHg, and arterial oxygen saturation was 97.6%. After administration of 1 mg/kg of methylene blue, her SpO2 improved gradually to 99%, and the methemoglobin value decreased to 1.2%. When using prilocaine as a local anesthetic, it is important to be aware that methemoglobinemia may occur even at doses much lower than the maximum recommended dose.

Predicting the resting metabolic rate of young and middle-aged healthy Korean adults: A preliminary study

  • Park, Hun-Young;Jung, Won-Sang;Hwang, Hyejung;Kim, Sung-Woo;Kim, Jisu;Lim, Kiwon
    • 운동영양학회지
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    • 제24권1호
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    • pp.9-13
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    • 2020
  • [Purpose] This preliminary study aimed to develop a regression model to estimate the resting metabolic rate (RMR) of young and middle-aged Koreans using various easy-to-measure dependent variables. [Methods] The RMR and the dependent variables for its estimation (e.g. age, height, body mass index, fat-free mass; FFM, fat mass, % body fat, systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse pressure, and resting heart rate) were measured in 53 young (male n = 18, female n = 16) and middle-aged (male n = 5, female n = 14) healthy adults. Statistical analysis was performed to develop an RMR estimation regression model using the stepwise regression method. [Results] We confirmed that FFM and age were important variables in both the regression models based on the regression coefficients. Mean explanatory power of RMR1 regression models estimated only by FFM was 66.7% (R2) and 66.0% (adjusted R2), while mean standard errors of estimates (SEE) was 219.85 kcal/day. Additionally, mean explanatory power of RMR2 regression models developed by FFM and age were 70.0% (R2) and 68.8% (adjusted R2), while the mean SEE was 210.64 kcal/day. There was no significant difference between the measured RMR by the canopy method using a metabolic gas analyzer and the predicted RMR by RMR1 and RMR2 equations. [Conclusion] This preliminary study developed a regression model to estimate the RMR of young and middle-age healthy Koreans. The regression model was as follows: RMR1 = 24.383 × FFM + 634.310, RMR2 = 23.691 × FFM - 5.745 × age + 852.341.

Obesity-Associated Metabolic Signatures Correlate to Clinical and Inflammatory Profiles of Asthma: A Pilot Study

  • Liu, Ying;Zheng, Jing;Zhang, Hong Ping;Zhang, Xin;Wang, Lei;Wood, Lisa;Wang, Gang
    • Allergy, Asthma & Immunology Research
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    • 제10권6호
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    • pp.628-647
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    • 2018
  • Purpose: Obesity is associated with metabolic dysregulation, but the underlying metabolic signatures involving clinical and inflammatory profiles of obese asthma are largely unexplored. We aimed at identifying the metabolic signatures of obese asthma. Methods: Eligible subjects with obese (n = 11) and lean (n = 22) asthma underwent body composition and clinical assessment, sputum induction, and blood sampling. Sputum supernatant was assessed for interleukin $(IL)-1{\beta}$, -4, -5, -6, -13, and tumor necrosis factor $(TNF)-{\alpha}$, and serum was detected for leptin, adiponectin and C-reactive protein. Untargeted gas chromatography time-of-flight mass spectrometry (GC-TOF-MS)-based metabolic profiles in sputum, serum and peripheral blood monocular cells (PBMCs) were analyzed by orthogonal projections to latent structures-discriminate analysis (OPLS-DA) and pathway topology enrichment analysis. The differential metabolites were further validated by correlation analysis with body composition, and clinical and inflammatory profiles. Results: Body composition, asthma control, and the levels of $IL-1{\beta}$, -4, -13, leptin and adiponectin in obese asthmatics were significantly different from those in lean asthmatics. OPLS-DA analysis revealed 28 differential metabolites that distinguished obese from lean asthmatic subjects. The validation analysis identified 18 potential metabolic signatures (11 in sputum, 4 in serum and 2 in PBMCs) of obese asthmatics. Pathway topology enrichment analysis revealed that cyanoamino acid metabolism, caffeine metabolism, alanine, aspartate and glutamate metabolism, phenylalanine, tyrosine and tryptophan biosynthesis, pentose phosphate pathway in sputum, and glyoxylate and dicarboxylate metabolism, glycerolipid metabolism and pentose phosphate pathway in serum are suggested to be significant pathways related to obese asthma. Conclusions: GC-TOF-MS-based metabolomics indicates obese asthma is characterized by a metabolic profile different from lean asthma. The potential metabolic signatures indicated novel immune-metabolic mechanisms in obese asthma with providing more phenotypic and therapeutic implications, which needs further replication and validation.

개에서 트라마돌의 정맥투여가 아이소플루란의 최소폐포농도에 미치는 영향 (Effect of Intravenous Administration of Tramadol on the Minimum Alveolar Concentration of Isoflurane in Dogs)

  • 석성훈;박세진;이승용;진소영;김영기;황재민;이희천;연성찬
    • 한국임상수의학회지
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    • 제32권4호
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    • pp.308-312
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    • 2015
  • 본 연구는 개에서 트라마돌의 정맥투여가 아이소플루란의 최소폐포농도 ($MAC_{ISO}$)에 미치는 영향을 평가하기 위하여 수행되었다. 6마리의 암컷 저먼셰퍼드견이 본 실험에 사용되었다. 실험견의 마취유도는 안면마스크를 이용하여 시행되었으며 실험하는 동안 기계적 환기장치를 이용하여 호기말 이산화탄소 분압 ($P_{ET}CO_2$)을 35-45 mmHg로 유지하였다. 개에서 마취유도 후 45분이 경과한 다음 gross purposeful movement가 감지 될 때까지 후지 발가락을 클램핑하는 방법을 사용하여 baseline $MAC_{ISO}$ ($MAC_{ISO}B$) 측정을 시작하였다. $MAC_{ISO}B$가 결정된 후, 트라마돌 3 mg/kg을 투여하였고 뒤이어 2.6 mg/kg/h으로 지속점적투여 (CRI)를 실시하였다. CRI 시작 후 20분이 경과한 다음, 트라마돌 투여 후 $MAC_{ISO}$값 ($MAC_{ISO}T$) 측정을 시작하였다. 동맥혈압과 심박수는 지속적으로 기록하였고 $MAC_{ISO}B$$MAC_{ISO}T$의 결정 후 각각 20분간 평형기간이 경과한 다음 동맥혈가스분석을 실시하였다. $MAC_{ISO}B$$MAC_{ISO}T$는 각각 $1.33{\pm}0.04%$$1.23{\pm}0.04%$로 측정되었고 $MAC_{ISO}B$는 트라마돌 투여 후 $7.5{\pm}0.2%$의 유의적인 (P < 0.05) 감소효과를 나타냈다. 트라마돌 투여 후 심박수와 동맥혈압에서는 유의적인 변화가 나타나지 않았으며 동맥혈 가스분석 결과에서도 유의적인 차이가 없었다. 이상의 결과로 보아 개에서 아이소플루란을 이용한 전신마취 시 트라마돌의 투여는 심폐기능의 억압을 일으키지 않고 $MAC_{ISO}$값을 감소시켰으므로 마취의 안정성과 마취회복의 질을 향상시키는데 유용할 것으로 사료된다.

여뀌섭취가 반추수에 비치는 임상병리학적 영향 (Clinicopathological Effects of Waterpepper (Persicaria hydropiper) on Ruminants)

  • 조명래;한홍율
    • 한국임상수의학회지
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    • 제6권2호
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    • pp.227-259
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    • 1989
  • Waterpepper is a weed which grows on damp soil. especially near swamps, and in shallow water of ponds and ditches. It Is widespread throughout the country In abundant colonies. In the present experiments, possible toxic effects of waterpepper were investigated in ruminants. Pour cows were fed waterpepper ad libitum or by force in the from of green forage, hay and/or powder, 8 goats were administered in the form of methanol extract, and 4 goats, crude juice, into the lumen. Clinical signs were examined as well as urinalysis, hematology, serum chemical analysis, pH/blood gas analysis and chclinesterase activities following administration of waterpepper. Six goats which were administered the methanol extract or crude juice were sacrificed for pathological examinations., In addition to the clini copathological examinations, the chemical constituents of waterpepper were qualitively analyzed from the methanol extract and the Effects of the waterpepper crude juice were examined on the motility of rabbit duodenum and uterus. It is revealed that waterpepper contains steroids, terpenoids, flavonoids, tannin and essential oils in the methanol extract and nitrates in the crude juice. The crude juice of waterpepper relaxed the rabbit uterine and duodenal smooth muscles. The constraction of duodenum by acetylcholine or BaCl$_2$ were partially inhibited by pretreatment of the crude juice. However, the relaxation of duodenum by the crude juice was not blocked by the pretreatments of phenoxybenzamlne, propranolol, cocaine, reserpine and tetrodotoxin. The constituents of waterpepper to evoke elaxation of duodenal smooth muscle were stable to heat. The cows administered waterpepper showed common clinical symptoms such as acrid expression, restlessness, dullness, inappetence, anorexia, severe diarrhea, mild bloat and left displacement of abomasum, while bloody feces was shown in a cow. The goats administered the mothanol extract showed common clinical signs such as acrid expression, restlessness, dullness, inappetence and soft feces, while bloody feces was shown in a goat, A goat adminstered the crude juice showde bloody feces and diarrhea. Respiratory rates and heart beats were increased along with diarrhea in the experimental cows. The erythrocyte counts and MCHC were decreased whereas PCV, MCV and neutrophils were increased in the cows administered waterpepper. In goats administered methanol extract, there were decreases in erythrocytes, PCV and hemoglobin content, and an increase in MCHC. The goats ingester with the crude juice showed negligible changes in hematologic values compared with control group which was administered the same amount of water instead of the crude juice. The contents of serum calcium, Inorganic phosphorus, magnesium, Iron, glucose, cholesterol, total protein, triglycerides and phospholipids were tended to decrease in cows. In goats serum iron, glucose, triglycerides, cholesterol, BUN and phospholipids content were decreased while the content of sodium and chloride were increased after administration of the methamol extract The goats ingested with the crude juice did not show significant changes in serum chemical analysis. Even though there were some pathological findings such as hyperemia in the small intestines and kidneys and swelling of liver parenchymal cells, the values of serum AST, ALT, LDH, alkaline phosphatase, total bilirubin and creatinine did not change significantly. While proteins, hemoglobin and blood were detected in the urine of cows, urine pH, ketone bodies, glucose, bilirubin and urobilinogen content were normal or undetected. There were no significant changes in pH/bolld gas analysis data of cows and cholinesterase activities of plasma and erythrocytes of cows and goats ingested with waterpepper or the methanol extract. It is concluded that waterpepper irritates the gatrointestinal system, causes abdominal pain, relaxes the gastrointestinal smooth muscle and dilatates blood vessels supplied to the system. The irritation and relaxation may lead to abnormal fermentation, maldigestion and malabsorption of nutrients and result in diarrhea, body feces, mild bloat and left displacement of abomasum.

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신생아기 장염에 의하여 발병된 Reye 증후군 (Reye syndrome after acute enteritis during the neonatal period)

  • 방준석;남상정;이경화;배은주;박원일;이현숙;손배영;최환석;이홍진
    • Clinical and Experimental Pediatrics
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    • 제49권3호
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    • pp.273-277
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    • 2006
  • 목 적 : Reye 증후군의 유병률은 1980년 후반 이후 급격히 감소하였으나 최근 Reye 증후군이 신생아 시기에 급성 장염 후에 집중적으로 발병되어 보고하는 바이다. 방 법 : 2005년 1월부터 2005년 4월까지 4개월간 삼성서울병원, 상계백병원, 원주기독병원, 춘천성심병원 등 4개 종합병원에서 본원 임상유전학 연구실로 분석이 의뢰되었던 환자 7례의 임상 소견, 검사 소견(유기산 대사분석, 일반 화학 검사, 동맥혈 가스검사, 혈청 암모니아)을 분석하였다. 임상 소견은 환자들의 증상 및 기본 검사 소견을 검체와 함께 보내온 환자 정보지를 분석하여 얻었고 유기산 분석은 gas chromatography와 mass spectrometry를 이용하여 정량 분석하였다. 결 과 : 7명의 환자들의 평균 연령은 18일이었고 이들의 주요 선행 증상은 위장관 증상(구토, 설사, 음식 거부)이였으며 임상증상으로는 의식 장애, 호흡 곤란, 구토, 경련, 설사 등이었다. 사망은 1례에서 발생하였고 사망 환자의 암모니아 수치는 정상 암모니아 수치의 20배 이상 높은 수치를 나타냈다. 결 론 : 7례 모두 신생아 시기의 환자들이었다. Reye 증후군은 선행 질환으로 상기도 감염과 아스피린 복용이 밀접한 관련이 있는 것으로 알려져 있으나 본 연구에서는 주요 선행 질환이 위장관 감염이었고 아스피린 복용력은 없었다.

오리고기의 지방산조성(脂肪酸組成)에 관(關)한 연구(硏究) (Studies on the Fatty Acid Composition of Duck Meat)

  • 남현근
    • Journal of Nutrition and Health
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    • 제10권1호
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    • pp.34-37
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    • 1977
  • 오리고기를 가식부(可食部)만을 n-Hexane으로 지방(脂肪)을 용출(溶出)하고 정제(精製)한 다음 methyl ester시켜 gas chromatography로 분석(分析)하고 몇가지 화학적(化學的) 성자(性資)를 시험(試驗)하여 다음과 같은 결과(結果)를 얻었다. 1. 오리고기의 일반성분(一般成分)은 수분(水分) 64.87%, 단백질(蛋白質) 19.06%, 조지방(粗脂肪) 17.3%, 회분(灰分) 1.12%로 닭고기에 비(比)하여 지방(脂肪)은 다소 많았다. 2. 용매(溶媒)의 종류에 따라 용출량(溶出量)이 다소 차이가 있었다. Ethylether에 79.57%, chloroform에 70.15%, n-Hexane에 72.35%로 나타났다. 3. n-hexane으로 용출(溶出)한 지방(脂肪)의 chemical constant는 산가(酸價) 5.01, 검화가 201.5, 요오드가(價)카 50.1, 카보널가(價) 4.5%를 나타냈다. 4. n-Hexane으로 용출(溶出)한 지방산(脂肪酸)을 gas chromatography에 의(依)하며 분석(分析)하여 오리고기(Leg portion)는 Myristic acid 0.12%, palmitic acid 17.2% , Stearic acid 3.1%, Oleic acid 45.9%, Linoleic acid 19.9%, Linolenic acid 1.6%를 나타냈고, 오리고기(Breast portion)는 Myristic acid 0.17%, Palmitic acid 17.1%, stearic acid 3.3%, Oleic acid 51.2%, Linoleic acid 17.2%, Linolenic acid 1.7%이었고, arachidonic acid는 측정되지 않았다. 5. 오리피의 cholesterol은 total 200mg%, Breast portion의 fat에 cholesterol의 total은 260mg%, Leg portion의 fat에 cholesterol의 tatal은 400mg% 이었다. $\divideontimes$ 본연구(本硏究)는 1976년도(年度) 광주서원전문학교(光州瑞元專門學校) 학술연구조성비에 의(依)하여 행(行)한 것입니다.

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위축성 심낭염 [Constrictive Pericarditis]을 동반한 양측성 섬유흉 [Fibrothorax] 치험 1 (Bilateral fibrothorax with constrictive pericarditis)

  • 선경;김요한;백광제;이철세;김학제;김형묵
    • Journal of Chest Surgery
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    • 제17권4호
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    • pp.703-708
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    • 1984
  • Fibrothorax is the end stage of chronic pathologic processes of pleura such as hemothorax, empyema, or tuberculous effusion. The pleural space become adherent and obliterated, and the lung parenchyma is covered by a thick, fibrous, unexpandable "peel", so the lung function is diminished markedly with impaired ventilation and oxygenation. Constrictive pericarditis is often accompanied fibrothorax, also cardiac and hemodynamic function is deteriorated. Surgical relief of these fibrous peels causes remarkable improvement in pulmonary function, cardiac and hemodynamic function, and subjective symptoms. We experienced a case of bilateral fibrothorax combined with constrictive pericarditis which occured 3 years after bilateral tuberculous effusion. Decortication and percardiectomy were done at the same time through bilateral submammary thoracotomy with sternal transection. Comparing postoperative Peripheral venous pressure, Circulation time, Pulmonary function test, Arterial blood gas analysis, Subjective symptoms with preoperative conditions showed noticeable improvement.provement.

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