황화수소 중독 증례

• Published in: 대한임상독성학회지 Vol. 2; no. 1; pp. 31 - 36
• Main Authors: 최영희, Young Hee Choi, 남병극, Byung Kuk Nam, 김효경, Hyo Kyung Kim, 박지강, Ji Kang Park, 홍은석, Eun Seog Hong, 김양호, Yang Ho Kim
• Format: Journal Article
• Language: Korean
• Published: 대한임상독성학회 30.06.2004
• Subjects: Hydrogen sulfide; MRI; Poisoning; SPECT; Hydrogen sulfide; Poisoning; MRI; SPECT
• ISSN: 1738-1320; 2508-6332

Three workers, field operators in lubricating oil processing of petroleum refinery industry were found unconscious by other worker. One of them who were exposed to high concentration of H2S was presented with Glasgow Coma Score of 5, severe hypoxemia on arterial blood gas analysis, normal chest radiography, and normal blood pressure. On hospital day 7, his mental state became clear, and neurologic examination showed quadriparesis, profound spasticity, increased tendon reflexes, abnormal Babinski response, and bradykinesia. He was also found to have decreased memory, attention deficits and blunted affect which suggest general cognitive dysfunction, which improved soon. MRI scan showed abnormal signals in both basal ganglia and motor cortex, compatible with clinical findings of motor dysfunction. Neuropsychologic testing showed deficits of cognitive functions. SPECT showed markedly decreased cortical perfusion in frontotemporoparietal area with deep white matter. Another case was recovered completely, but the other expired the next day.