Fluoroacetate (Platol) 중독 증상 연구 — 자살기도자를 중심으로 —

• 영문명: Fluoroacetate (Platol) Intoxication in suicidal atttempters
• 발행기관: 대한신경정신의학회
• 저자명: 한창환 황주연 김경식 안석철
• 간행물 정보: 『신경정신의학』제23권 제1호, 119~127쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1984.02.29

영문 초록

This study was designed to evaluate the clinical problems of fluoroacetate intoxication. The total number of the fluoroacetate intoxication patients who came to the emergency room of Han Gang Sacred Heart Hospital from Jan. 1, 1983 to Aug. 31, 1983 were 96 cases. Among them, 41 attempters who were consulted to the psychiatrist were evaluated and observed in detail. The following results were obtained. 1. The rodenticide poisoning accounts for 37.2% of all toxic substance intoxication (total 266 cases) at Han Gang Sacred Heart Hospital from Jan. 1983 to Aug. 1983. Among them, 96 cases (36.1%) of fluoroacetate intoxication were observed. 2. Female was affected 2.4 times more frequently than male. 35.5% of total cases belonged to age group 21 〜30years, when incidence was most prevalent. 3. As the route of drug obtainment, supplement were commonest (63.3%) t purchase in 29.4%. 4. CNS disturbances such as drowsiness, stupor, semicoma and irritability were observed in 75. 6% of the cases. Speech disturbances such as dysarthria, childish speech was observed in 9. S96 of the cases. Convulsion (29.396), tremor (12.2%) spasm and twitching (4. 996) were also frequently observed. Tachycardia was found in 43.8% of the cases and other frequent symptoms were nausea and vomiting (53.7%), abdominal pain (34.296) t m ild or high fever (26.8%). Lower calcium (below 9mg) was found in 29. 396 of the cases and lower potassium (below 3 .5mEq) was found in 22.096 of the cases. EKG findings revealed QT prolongation (22. 0% ), ST-T change (22.0%) and u-wave, RBBB, and PV C(14.6%). 5. 92 cases (95.8%) recovered w ith o u t sequelae and 4 cases (4.296) expired.

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