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KMID : 0361619710060040335
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Journal of the Korean Orthopaedic Association
1971 Volume.6 No. 4 p.335 ~ p.360
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Clinical Analysis on Ischemic Myositis associated with Carbon Monoxide Poisoning
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金槿宇/Kim, Kunn-Woo
李殷龍/石世一/韓文植/Lee, Eun-Yong/Suk, Se-Il/Hahn, Moon-Sik
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Abstract
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A clinical review and analysis was carried out on 14 cases of ischemic myositis associated with carbon monoxide poisioning treated at S. N. U. H. during the 3 year period from 1968 to 1971 with following results.
1. Among 14 patients, there were 8 males and 6 females. 8 cases were between the 20-30 years of age. None was observed under 20 years old.
2. Average duration of exposure to carbon monoxide gas was 9 hours, mostly between 8-12 hours. 3. Such systemic conditions are suggested as predisposing causes leading to ischemic myositis as
pregnancy, postpartum, active pulmonary tuberculosis, obesity with hypertension, and hypnotic addi￢
ction.
4. In regard to the local factors, prolonged external pressure the body is subjected to in unconcious state as well as local burn is shown to be responsible for the myositis. And in this respect Korean mode of bed on On-Dol may deserve blame for myositis because of its hardness and much heat.
5. Complications associated with ischemic myositis were 3 cases of ischemic myocarditis, 2 cases of brain syndrome and 3 cases of acute renal failure. In 3 cases of renal failure, all terminated fatally inspite of the intensive care including hemodialysis.
6. Fasciotomy should be performed cautiously, as 4 cases of secondary infection were complicated after fasciotomy on 5 cases.
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