2019년도 제 63차 대한직업환경의학회 가을학술대회

2019년 11월 7일 (목) ~ 9일(토) 대구엑스코(EXCO)

피하경로와 소화기경로를 통한 금속수은 노출례

Subcutaneous and Gastrointestinal Exposure to Metallic Mercury: Report of 2 Cases

B a c k g r o u n d: Mercury poisoning presents a variety of clinical pictures depending on the chemical structure, the route of exposure, the amount absorbed and other individual factors. Therefore, the ingestive and subcutaneous absorption of elemental(metallic) mercury can be considered to be relatively harmless in contrast to the inhalation of mercury vapor. Case reports: A 72-year-old man presented to the department of urology due to tenderness, edema and a necrotic abscess of his penis after trauma. The soft tissue abscess required a surgical resection of the penis. For chelation therapy, oral D-penicillamine was administrated. 7 months later, he showed no subjective or objective signs of mercury poisoning. Another 5-yearold girl presented to the emergency department after accidental self-ingestion of elemental mercury. She was followed clinically and did not show any systemic mercury poisoning. Conclusion: The Mercury concentrations in the blood and urine were elevated in the case of subcutaneous exposure, but was unchanged in the case of ingestion. Subcutaneous and gastrointestinal exposure to metallic mercury has a minimal risk for systemic mercury poisoning, which is in contrast to the exposure by inhalation.

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대한직업환경의학회에서 매주 화요일에 진행하는 화요런천세미나 강의동영상 중 강사가 공개를 동의해주신 경우 <교육동영상>에 업로드하였습니다.

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