황산구리 용액 음용 후 발생한 부식성 식도염 및 위염 1예
A Case of Corrosive Esophagogastritis after Copper Sulfate Ingestion
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
황산구리용액은 산성을 띄며 음용 시 전신중독증과 부식성 상부 위장관 손상을 유발할 수 있다. 황산구리용액을 음용한 이후 발생한 부식성 식도염 및 위염에 대해서 국내에서는 보고된 바 없다. 저자들은 12세 남아가 학교 실험실에서 음료수로 오인하여 황산구리 용액을 마신 후 발생한 부식성 위염과 식도염을 진단하였고 보존적 치료 후 위염과 식도염의 호전을 보인 1예를 경험하여 보고하는 바이다.
Abstract
Copper sulfate ingestion is a rare cause of corrosive gastrointestinal injury in the Republic of Korea. In developing countries, copper sulfate is chiefly used for agricultural purposes as a pesticide and in the leather industry. It is also used in school science classes in the form of bright blue crystals. Copper sulfate is a powerful oxidizing agent that is corrosive to mucous membranes. Concentrated solutions are acidic, with a pH of 4. We report a case of corrosive gastritis and esophagitis due to accidental copper sulfate ingestion in a 12-year-old boy.
참고문헌 (13)
- Zargar SA, "The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns", Gastrointest Endosc, 37, pp.165~169 (1991)
- Saravu K, "Acute ingestion of copper sulphate: a review on its clinical manifestations and management", Indian J Crit Care Med, 11, pp.74~80 (2007)
- James LP, "Gastric injury following copper sulfate ingestion", Pediatr Emerg Care, 15, pp.429~431 (1999)
- Chuttani HK, "Acute copper sulfate poisoning", Am J Med, 39, pp.849~854 (1965)
- Rao RB, "Caustics and batteries. In: Goldfrank LR, Flomenbaum NE, Lewin NA, eds. Goldfrank’s toxicologic emergencies. 7th ed", pp.1326~ (2002), McGraw-Hill
- Chyka PA, "Position statement: single-dose activated charcoal. American academy of clinical toxicology; European association of poisons centres and clinical toxicologists", J Toxicol Clin Toxicol, 35, pp.721~741 (1997)
- Gupta SK, "Is esophagogastroduodenoscopy necessary in all caustic ingestions", J Pediatr Gastroenterol Nutr, 32, pp.50~53 (2001)
- Warden GD, "Burns in Principles of surgery. 7th ed.", pp.223~262 (1999), McGraw-Hill
- Lamireau T, "Accidental caustic ingestion in children: is endoscopy always mandatory", J Pediatr Gastroenterol Nutr, 33, pp.81~84 (2001)
- Baskin D, "A standardised protocol for the acute management of corrosive ingestion in children", Pediatr Surg Int, 20, pp.824~828 (2004)
- Gumurdulu Y, "The efficiency of sucralfate in corrosive esophagitis: a randomized, prospective study", Turk J Gastroenterol, 21, pp.7~11 (2010)
- Cohen IK, "Wound care and wound healing. In: Schwartz SI, ed. Principles of surgery. 7th ed", pp.263~269 (1999), McGraw-Hill
- Mutaf O, "Gastroesophageal reflux: a determinant in the outcome of caustic esophageal burns", J Pediatr Surg, 31, pp.1494~1495 (1996)