지원사업
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.
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Pharmaceutical agents are the most common causes of poisoning in Korea. Calcium channel blockers (CCBs) are commonly used in Korea for the management of hypertension and other cardiovascular diseases, but are associated with a risk of mortality due to overdose. Due to the frequent fatalities associated with CCB overdose, it is essential that the emergency physician is capable of identifying CCB intoxication, and has the knowledge to manage CCB overdose. This article reviews the existing clinical guidelines, retrospective studies, and systematic reviews on the emergency management of CCB overdose. The following are the varied treatments of CCB overdose currently administered. 1) For asymptomatic patients: observation with enough time and decontamination, if indicated. 2) For symptomatic patients: infusion of calcium salt, high dose insulin therapy, and vasopressor (norepinephrine) or atropine for bradycardia. 3) For patients refractory to the first line therapy or with refractory shock or impending arrest: lipid emulsion therapy and extracorporeal membrane oxygenation. 4) As adjunct therapy: phosphodiesterase inhibitors, glucagon, methylene blue, pacemaker for AV block. Small CCB ingestion is known to be fatal for pediatric patients. Hence, close observation for sufficient time is required.
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참고문헌 (40)
참고문헌 신청
http://www.cdc.go.kr/contents.es?mid=a20601030600%20/
https://www.iptargets.com/wp-content/uploads/2020/01/
정성필 / 2017 / 2016년 응급실 손상환자 심층조사 자료를 이용한 중독 환자의 분석 / 대한임상독성학회지 15(2):86~93
Bronstein AC / 2012 / Annual report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 29th Annual Report / Clin Toxicol (Phila) 50:911~1164
Correia MS / 2019 / A 10-year review of single medication double-dose ingestions in the nation’s largest poison control system / Clin Toxicol(Phila) 57:31~35
https://www.iptargets.com/wp-content/uploads/2020/01/
정성필 / 2017 / 2016년 응급실 손상환자 심층조사 자료를 이용한 중독 환자의 분석 / 대한임상독성학회지 15(2):86~93
Bronstein AC / 2012 / Annual report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 29th Annual Report / Clin Toxicol (Phila) 50:911~1164
Correia MS / 2019 / A 10-year review of single medication double-dose ingestions in the nation’s largest poison control system / Clin Toxicol(Phila) 57:31~35
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