마그네슘 포함 비료 음독 후 발생한 중증의 고마그네슐혈증의 1례Severe Case of Hypermagnesemia Caused by Ingesting Magnesium Containing Fertilizer
- Other Titles
- Severe Case of Hypermagnesemia Caused by Ingesting Magnesium Containing Fertilizer
- Authors
- 이가영; 유진영; 조남준; 박삼엘; 이은영; 길효욱
- Issue Date
- 2020
- Publisher
- 대한임상독성학회
- Keywords
- Hypermagnesemia; Poisoning; Fertilizers
- Citation
- 대한임상독성학회지, v.18, no.2, pp 141 - 144
- Pages
- 4
- Journal Title
- 대한임상독성학회지
- Volume
- 18
- Number
- 2
- Start Page
- 141
- End Page
- 144
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/19659
- DOI
- 10.22537/jksct.2020.18.2.141
- ISSN
- 1738-1320
2508-6332
- Abstract
- 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.
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Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
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