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J Korean Soc Emerg Med > Volume 28(4); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(4): 399-402.
시멘트 음독을 성공적으로 치료한 1례
이숙희, 이경우
대구가톨릭대학교 의과대학 응급의학교실
A Successful Management after Cement Ingestion: A Case Report
Suk Hee Lee, Kyung Woo Lee
Department of Emergency Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea
Correspondence  Kyung Woo Lee ,Tel: 053-650-4197, Fax: 053-650-4930, Email: turtle072@hanmail.net,
Received: May 1, 2017; Revised: May 2, 2017   Accepted: July 13, 2017.  Published online: August 31, 2017.
ABSTRACT
Cases of the cement ingestion are rare. This paper reports the successful management of cement ingestion with gastric lavage and endoscopic washing. A 69-year-old man who had a stuporous mentality and seizures visited the local emergency room. He was found in his room with cement powder and several liquor bottles. He underwent a gastric lavage in the prior emergency room, which showed evidence of cement ingestion. He was transferred to the emergency center after primary care. Cement mixed with water is a strong alkali and acts as a caustic agent in the gastrointestinal tract. In addition, it can become hard in a few hours and sometimes produce gastric bezoars. Generally, gastric lavage is not recommended for caustic agents. On the other hand, gastric lavage and endoscopic washing was performed repeatedly for successful removal despite the physical and chemical characteristics of cement. Therefore, the active removal of ingested cement by both gastric lavage and endoscopic washing is recommended.
Key words: Cement, Alkali, Ingestion, Gastric lavage, Endoscopy
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