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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 218 - 221 (4page)
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초록· 키워드
오류제보하기
Cyanide intoxication results in severe metabolic acidosis and catastrophic prognosis with conventional treatment. Indications of extracorporeal membrane oxygenation (ECMO) and continuous renal replacement therapy (CRRT) are expanding to poisoning cases. A 50-year-old male patient arrived in the emergency room due to mental change after ingestion of cyanide as a suicide attempt 30 minutes prior. He was comatose, and brain stem reflexes were absent. Initial laboratory analysis demonstrated severe metabolic acidosis with increased lactic acid of 25 mM/L. Shock and acidosis were not corrected despite a large amount of fluid resuscitation with highdose norepinephrine and continuous renal replacement therapy. We decided to apply ECMO and CRRT to allow time for stabilization of hemodynamic status. After administration of antidote infusion, although the patient had the potential to progress to brain death status, vital signs were improved with correction of acidosis. We considered the evaluation for organ donation. We report a male patient who showed typical cyanide intoxication as lethal metabolic acidosis and cardiac impairment, and the patient recovered after antidote administration during vital organ support through ECMO and CRRT.
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등록된 정보가 없습니다.
참고문헌 (11)
참고문헌 신청
Auzinger GM / 2001 / Successful extracorporeal life support in a case of severe flecainide intoxication / Crit Care Med 29 : 887 ~ 890
Barkoukis TJ / 1993 / Multiorgan procurement from a victim of cyanide poisoning. A case report and review of the literature / Transplantation 55 : 1434 ~ 1436
Masson R / 2012 / A comparison of survival with and without extracorporeal life support treatment for severe poisoning due to drug intoxication / Resuscitation 83 : 1413 ~ 14
Mitchell BL / 2013 / Toxicokinetic profiles of α-ketoglutarate cyanohydrin, a cyanide detoxification product, following exposure to potassium cyanide / Toxicol Lett 222 : 83
Rachinger J / 2002 / MR changes after acute cyanide intoxication / AJNR Am J Neuroradiol 23 : 1398 ~ 1401
Barkoukis TJ / 1993 / Multiorgan procurement from a victim of cyanide poisoning. A case report and review of the literature / Transplantation 55 : 1434 ~ 1436
Masson R / 2012 / A comparison of survival with and without extracorporeal life support treatment for severe poisoning due to drug intoxication / Resuscitation 83 : 1413 ~ 14
Mitchell BL / 2013 / Toxicokinetic profiles of α-ketoglutarate cyanohydrin, a cyanide detoxification product, following exposure to potassium cyanide / Toxicol Lett 222 : 83
Rachinger J / 2002 / MR changes after acute cyanide intoxication / AJNR Am J Neuroradiol 23 : 1398 ~ 1401
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