1.The correlation of serum cholinesterase and clinical signs in acute organophosphate poisoning
Journal of Medical Research 2002;19(3):59-66
30 acute organophosphate poisoning patients admitted in our department were classified into three groups of severity based on serum cholinesterase level and clinical syndromes of cholinergic crisis. Atropine was given at dose of 2-5mg every 10-15 minutes until the atropinisation reached then the doses of atropine were adjusted to maintain it. Pralidoxime was administered according to severity and its dosages were titrated as serum cholinesterase levels and clinical changes. Data was analyzed by SPSS for Windows. (1) The patients had good outcome with short duration of hospitalization (5.73.8) and low mortality (3.3%). (2) Serum cholinesterase was correlated with number of clinical symptoms (r=-0.613); clinical score (r=-0.580); number clinical syndromes (r=-0.515); total dose of atropine (-.714) severity of poisoning (r=-0.928) and total dose of PAM (r=-0.721). All correlation was significantly at the 0.01 level. (3) Total dose of PAM was correlated with clinical symptoms (r=0.625); clinical score (r=0.596); clinical syndromes (r=0.658); severity of poisoning (0.695); duration of hospitalization (0.889)
Poisoning
;
diagnosis
2.Effect of oral D-penicillamine in Urinary excretion of lead.
Korean Journal of Preventive Medicine 1976;9(1):87-94
In order to study the chelating action of d-penicillamine on lead and the possibility of its application to the provocation test for diagnosis of lead poisoning, urinary excretion of lead was measured from 24-hour urine samples before, during and after administration of d-penicillamine by oral route for 5 days on 18 lead workers. The results were as follows: 1. Oral d-penicillamine 600 mg/day raised the excretion of urinary lead by approximately 3 times as compared with initial urinary lead level. 2. Initial urinary lead level was the better indicator of urinary lead excretion in d-penicillamine administration than initial blood lead delta-ALA and hemoglobin level. 3. Oral d-penicillamine may be quite useful in provocation test for lead poisoning.
Diagnosis
;
Lead Poisoning
;
Penicillamine*
8.A Case of Green Urine after Ingestion of Herbicides.
Yun Suk SHIM ; Hyo Wook GIL ; Jong Oh YANG ; Eun Young LEE ; Soo Hyun KIM ; Sae Yong HONG
The Korean Journal of Internal Medicine 2008;23(1):42-44
The development of discolored urine may have many possible causes. Here we present the case of a 76-year-old woman who was admitted after ingesting the inorganic herbicides, mefenacet and imazosulfuron. Her urine color changed to green almost immediately. Since the patient had no specific medication or medical history we considered that the most likely cause of the change in urine color was the ingestion of the herbicides. Spectrophotometric analysis of the urine was conducted and a peak was observed in the green area of the wavelength spectrum. These findings show that mefenacet and imazosulfuron should be considered in the differential diagnosis of green discolored urine.
Acetanilides/*poisoning/urine
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Aged
;
Benzothiazoles/*poisoning/urine
;
Color
;
Eating
;
Female
;
Herbicides/*poisoning/urine
;
Humans
;
Poisoning/diagnosis/urine
;
Pyridines/*poisoning/urine
;
Pyrimidines/*poisoning/urine
;
Urinalysis
9.Clinical analysis of seven patients with acute aluminum phosphide poisoning.
Chinese Journal of Industrial Hygiene and Occupational Diseases 2006;24(4):253-254
Acute Disease
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Adolescent
;
Adult
;
Aluminum Compounds
;
poisoning
;
Child
;
Female
;
Humans
;
Male
;
Middle Aged
;
Pesticides
;
poisoning
;
Phosphines
;
poisoning
;
Poisoning
;
diagnosis
;
therapy
10.Peritoneal diagnosis saves infants from intoxication
Journal of Practical Medicine 2003;442(2):46-48
Peritoneal diagnosis was performed on 3 infants of 7 months, 10 months and 30 months old age with liver and kidney failure associated with severe disorders of vital functions. These 3 subjects were related to intoxication from medicaments or to blood transfusion complications. In combining with comprehend vive treatment of internal surgical techniques A 3-10 day course of diagnosis have saved all these 3 infants, their vital functions including liver and kidney function have turned to normal standards. After 1 year follow up, the results were stable
Poisoning
;
Infant
;
Kidney Failure
;
Panniculitis, Peritoneal
;
diagnosis