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강원 영서 북부 지역의 약물 중독 실태
The Clinical Investigation of Drug Intoxication in the North-Youngseo District of Kangwon Province

옥택근   (강원대학교 의과대학 강원대학교병원 응급의학교실UU0000037  ); 조준휘   (강원대학교 의과대학 강원대학교병원 응급의학교실UU0000037  ); 박찬우   (강원대학교 의과대학 강원대학교병원 응급의학교실UU0000037  ); 김성은   (한림대학교 춘천성심병원 응급의학과HH0000179  ); 최기훈   (한림대학교 춘천성심병원 응급의학과HH0000179  ); 배지훈   (한림대학교 춘천성심병원 응급의학과HH0000179  ); 서정열   (한림대학교 춘천성심병원 응급의학과HH0000179  ); 정재봉   (한림대학교 춘천성심병원 응급의학과HH0000179  ); 안희철   (한림대학교 춘천성심병원 응급의학과HH0000179  ); 안무업   (한림대학교 춘천성심병원 응급의학과HH0000179  ); 유기철   (한림대학교 한강성심병원 응급의학과HH0000175  );
  • 초록

    Acute poisoning is one of the diseases which need the most fastest emergency measures at the very beginning. However, at present, The Korea doesn't manage the toxication all over the country, and in particular, there is no guide to medical cure paying due regard to the traits of each area. This paper focused on the issue that the necessary data in preparing the facilities for the treatment of the poisoned patients and materials for medical treatment including antidote would have to be collected, after finding the special features of the symptoms by searching the present conditions of the poisoning in small towns next to farm villages in the North area of Youngseo, Kangwon province. This study was based on the questionnaires from 111 patients who were carried into the emergency room by the poisoning in two university hospitals of the North area of Youngseo, Kangwon, for one year, 2002. Upon investigation, the patients(111) visiting emergency room by the acute poisoning during the research period was found to be 0.37 percent of all patients(30,085) visiting emergency room. Among them, the most high percentage was given in their twenties and thirties at the rate of $39.6\%$ , and the ratio( $40.5\%$ ) of the poisoned patients after their fifties was much higher than a research( $10\%$ ) of other areas. Many poisoned patients came to their rescue in an emergency room generally in spring and in winter, from 7 a.m. to 3 p.m. Agricultural chemical of the toxic materials had a majority at a ratio of $57.7\%$ , and paraquat of the agricultural chemicals was found to have a lot of toxicity by $31.7\%$ . As the trace of the toxication, the oral poisoning was common by $89.2\%$ , and $55.9\%$ in the case of operating gastric lavage and nasogastric irrigation, but only $14.4\%$ for prescribing antidote. The mortality of the acute poisoned patients was $17.2\%$ , and the toxication by paraquat held a majority. As a result, the acute poisoning of the North area in Youngseo, Kangwon had both of the characteristics of the rural and the city, and the patients over their fifties by the population aging had more attack of the disease than other regions. Also, with the high ratio of the toxication by the agricultural chemicals, especially, the lethal agricultural chemical was used frequently. Therefore, these dangerous situations need to find the ways to cope with.


  • 주제어

    Pisoning .   Emergency .   Epidemiology.  

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  • 조준휘 (11)

  • 박찬우 (11)

  • 김성은 (5)

  • 최기훈 (5)

  • 배지훈 (3)

  • 정재봉 (1)

  • 유기철 (1)

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