마그네슘 포함 비료 음독 후 발생한 중증의 고마그네슐혈증의 1례

Hypermagnesemia is a rare condition that is usually iatrogenic in patients with elderly or renal failure. Severe hypermagnesemia is uncommon in patients with a normal renal function. Symptoms due to hypermagnesemia can range from mild symptoms, such as nausea, to severe symptoms, such as cardiac and...

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Published in대한임상독성학회지 Vol. 18; no. 2; pp. 141 - 144
Main Authors 이가영, Ka-young Lee, 유진영, Jin-young Yu, 조남준, Nam-jun Cho, 박삼엘, Samel Park, 이은영, Eun-young Lee, 길효욱, Hyo-wook Gil
Format Journal Article
LanguageKorean
Published 대한임상독성학회 30.12.2020
Subjects
Fertilizers
Hypermagnesemia
Poisoning
Poisoning
Hypermagnesemia
Fertilizers
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Summary:Hypermagnesemia is a rare condition that is usually iatrogenic in patients with elderly or renal failure. Severe hypermagnesemia is uncommon in patients with a normal renal function. Symptoms due to hypermagnesemia can range from mild symptoms, such as nausea, to severe symptoms, such as cardiac and respiratory arrest. This paper describes a case of a 49-year-old woman who ingested a magnesium-containing fertilizer with normal renal function. Cardiac arrest occurred eight hours after poisoning. Electrocardiography changed from a narrow QRS to a wide QRS and then to a complete atrioventricular block. Her hemodynamic state was unstable. Continuous renal replacement therapy was performed to remove magnesium from the blood, with the subsequent resolution of arrhythmia and hemodynamic stabilization. This paper reviews the pathophysiologic effects of magnesium on the cardiovascular system, clinical manifestation, and treatment of hypermagnesemia.
Bibliography:Korean Society of Clinical Toxicology
KISTI1.1003/JNL.JAKO202007650437673
ISSN:1738-1320
2508-6332