Santiago I
Servicio de Urgencias, Hospital de Navarra, 31008 Pamplona, Spain.
An Sist Sanit Navar. 2003;26 Suppl 1:173-80.
Poisoning by gases in our area is an important problem due to its high incidence. In the specific case of carbon monoxide poisoning, this is the main cause of death by poisoning in our environment, on many occasions coexisting with cyanide poisoning. Both poisonings can be severe, their diagnosis being based on the mere suspicions of the doctor. Besides, their importance lies in the fact that both poisonings have a very specific treatment. Normo or hyperbaric oxygenotherapy is the treatment for carbon monoxide poisoning. In the case of cyanide poisoning, hydroxocobalamin is nowadays the treatment of choice, since it has proved itself to be an efficient antidote.
由于中毒事件高发,我们所在地区的气体中毒是一个重要问题。就一氧化碳中毒这一特定情况而言,它是我们所在环境中中毒致死的主要原因,很多时候还与氰化物中毒并存。这两种中毒情况都可能很严重,其诊断仅基于医生的怀疑。此外,它们的重要性在于这两种中毒都有非常特定的治疗方法。常压或高压氧疗是一氧化碳中毒的治疗方法。对于氰化物中毒,如今羟钴胺是首选治疗药物,因为它已被证明是一种有效的解毒剂。