- Treatment of Ethylene Glycol Poisoning Patient Presented with Mental Change
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Jin Hong Min, Jang Young Lee, Moon Gi Min, Sung Pil Chung, Seung Whan Kim, In Sool Yoo
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J Korean Soc Clin Toxicol. 2004;2(2):129-132. Published online December 31, 2004
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 Abstract
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- Ethylene glycol poisoning can cause profound morbidity and is almost universally fatal if untreated. Central nervous system depression, pulmonary edema, and acute oligulic renal failure with crystalluria are among the most commonly encountered complication of ingestion. Ingestion of ethylene glycol may be an important contributor in patients with metabolic acidosis and subsequent renal failure. The diagnosis of ethylene glycol poisoning is based on nonspecific clinical symptoms and signs and indirect and direct laboratory measurement of ethylene glycol. As a result, diagnosis and treatment sometimes can be delayed. We describe 52-year-old man who visited to emergency department with mental change of unknown origin. The patient has high anion gap metabolic acidosis and renal failure due to ingestion of antifreeze that contained ethylene glycol. We used hemodialysis for elimination technique. The patient was discharged with minimal complication.
- Analysis of 2002 year's Pesticides Poisoning Deaths' data of Korea National Statistical Office and Counterplan to Prevent Deaths Due to Herbicides Poisoning
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Uk Jin Kim, Hyo Yun Kim, Seung Hwan Kim, Sun Wook Kim, Young Soon Cho, Sung Pil Chung, Hahn Shick Lee
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J Korean Soc Clin Toxicol. 2004;2(2):77-82. Published online December 31, 2004
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- Background
s: Deaths from pesticides poisoning has increased annually, but no studies have been reported. Especially paraquat is suspected to be a major material in pesticide poisoning deaths. In Korea, simple epidemiology of pesticides poisoning is not well known. So, there is no effective method to prevent pesticides poisoning. We tried to investigate the present status of pesticides poisoning with data from Korea National Statistical Office and suggest an effective counterplan. Methods: We analysed death cause data derived from Korean Statistical association, deaths causes being pesticides poisoning in the year 2002. Also, we investigated data from internet, mainly from Korea National Statistical Office home page. Results: Total 2,875 persons died after pesticides poisoning in 2002 year. Average age is 54.2 year, standard deviation being 17.7 year. Many victims (about $41\%$) died during the herbicides' non-necessary period (JanuaryMarch, October-December) Conclusion: Herbicides sale should be restricted only during herbicides' necessary period, and so called a pesticides safety supervisor system shall effectively prevent herbicides poisoning.
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KSCT
Korean Society of Clinical Toxicology