대한임상독성학회지 (Journal of The Korean Society of Clinical Toxicology)
- 제4권1호
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- Pages.44-47
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- 2006
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- 1738-1320(pISSN)
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- 2508-6332(eISSN)
아스피린 중독에 의한 심전도 변화 2례
Transient Change of Electrocardiogram in Two Young Women With Salicylate Intoxication - Two Cases Report -
- 유제성 (연세대학교 의과대학 응급의학교실) ;
- 박종우 (고신대학교 복음병원 응급의학과) ;
- 최영환 (연세대학교 의과대학 응급의학교실) ;
- 조영순 (순천향대학교 부속 부천병원 응급의학과) ;
- 조광현 (을지의과대학교 을지병원 응급의학과) ;
- 박준석 (인제대학교 일산백병원 응급의학과) ;
- 정성필 (연세대학교 의과대학 응급의학교실) ;
- 이한식 (연세대학교 의과대학 응급의학교실)
- You Je-Sung (Department of Emergency Medicine, Yonsei University College of Medicine) ;
- Park Jong-Woo (Department of Emergency Medicine, GoSin University Gaspel Hospital) ;
- Choi Young-Hwan (Department of Emergency Medicine, Yonsei University College of Medicine) ;
- Cho Young-Soon (Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital) ;
- Cho Kwang-Hyun (Department of Emergency Medicine, Eulji general hospital) ;
- Park Jun-Seok (Department of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
- Chung Sung-Pil (Department of Emergency Medicine, Yonsei University College of Medicine) ;
- Lee Hahn-Shick (Department of Emergency Medicine, Yonsei University College of Medicine)
- 발행 : 2006.06.01
초록
Symptoms of aspirin overdose may vary from acid-base disturbance, electrolyte abnormality, non-cardiogenic pulmonary edema, chemical hepatitis, seizure to cardiac toxicity. Cardiac adverse effects from aspirin are uncommon but there are reports of arrhythmia, cardiopulmonary arrest, and myocardial infarction. We report 2 cases of young women with aspirin overdose who exhibited ischemic changes on their ECGs a few hours after the ingestion with spontaneous recovery in a few days. First case, a 29 year old woman, presented to the emergency department 6 hours after ingesting 250 tablets of aspirin (325 mg/T). On examination, the temperature was