Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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A Case of Treatment with QRS Widening in Electrocardiogram after Glyphosate Herbicide Poisoning

글리포세이트 제초제 중독 후 심전도에서 QRS파 확장을 보여 치료한 1례

  • Lee, Joo Hwan (Department of Emergency Medicine, Daegu Fatima Hospital)
  • 이주환 (대구파티마병원 응급의학과)
  • Received : 2019.04.23
  • Accepted : 2019.05.19
  • Published : 2019.06.30
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Abstract

Glyphosate herbicides, which are widely used worldwide, are known to have low toxicity. However, excessive intake may cause serious life-threatening complications; therefore, caution is needed when using them. A 51-year-old man visited the hospital after ingesting glyphosate herbicide. At the time of admission, his vital signs were 80/60 mmHg-115/min-20/min-$37.3^{\circ}C$. Electrocardiogram (ECG) showed QRS widening and corrected QT (QTc) prolongation, and blood tests showed metabolic acidosis. Treatment with gastric lavage, activated charcoal, sodium bicarbonate and intravenous lipid emulsion therapy was performed. After 2 hours, his blood pressure increased to 130/90 mg, and no QRS widening was observed on ECG.

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References

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