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The Clinical Characteristics and Prognosis after Acute Ingestion of Glacial Acetic Acid

Other Title
급성 빙초산 음독의 임상 양상 및 예후
Authors
최, 갑용; 민, 영기; 정, 윤석; 조, 준필; 최, 상천
Citation
Taehan Imsang Doksŏng Hakhoe chi, 10(2):91-96, 2012
Journal Title
Taehan Imsang Doksŏng Hakhoe chi; Journal of the Korean Society of Clinical Toxicology; 대한임상독성학회지
ISSN
1738-1320
Abstract
Purpose: A retrospective study with a literature review was conducted to identify the clinical characteristics and prognosis after the acute ingestion of glacial acetic acid.



Methods: The medical records of 20 patients,who had presented to the emergency department of Ajou University Hospital complaining of the acute ingestion of glacial acetic acid between January 2006 and December 2011, were examined retrospectively.



Results: Among the 172 patients admitted for caustics injury, 20 patients ingested glacial acetic acid. The mean age of the patients was , and the mean volume of the acid was ml. The clinical features included 1) oral ulcers in 12 patients (63.2%), 2) respiratory difficulties in 11 patients (57.9%), 3) oliguria in 8 patients (42.1%), 4) renal toxicity in 7 patients (36.8%), 5) hepatic failure in 7 patients (36.8%), 6) disseminated intravascular boagulopathyin 7 patients (36.8%), 7) low blood pressure in 8 patients (42.1%), and 8) mental changes in 9 patients (47.4%). Ten patients required endotracheal intubation. Nine patients were admitted to the intensive care unit, and 5 patients expired.



Conclusion: The ingestion of glacial acetic acid can cause severe symptoms, such as metabolic acidosis, multiple organ failure and upper airway swelling frequently and has a high mortality rate. Therefore, aggressive treatment, including endotracheal intubation, should be considered at the early stages.
Keywords
Glacial acetic acidPoisoningCaustics
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Emergency Medicine
AJOU Authors
민, 영기정, 윤석조, 준필최, 상천
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