Harper Adam, Croft-Baker James
Department of Elderly Medicine, Royal Bournemouth Hospital, Castle Lane East, Bournemouth BH7 7DW, UK.
Age Ageing. 2004 Mar;33(2):105-9. doi: 10.1093/ageing/afh038.
Carbon monoxide poisoning represents a potentially preventable and reversible cause of mortality and morbidity if sources and cases can be identified. The elderly have been shown to be particularly at risk. Concerns continue to be raised about potential unrecognised cases of carbon monoxide poisoning. These concerns arise from difficulties in knowing who to suspect as a potential victim of poisoning as well as how, when and what to test. In general carbon monoxide has no helpful unique clinical presentation and is known to mimic common illnesses as well as exacerbate established diseases. As a gas it is undetectable by the human senses and is potentially present in most households. This paper reviews the issues associated with carbon monoxide poisoning including pointers to early diagnosis and discussion of pathophysiology and management.
如果能够识别一氧化碳中毒的来源和病例，那么一氧化碳中毒是一个潜在可预防且可逆的导致死亡和发病的原因。老年人已被证明尤其易受影响。对于一氧化碳中毒潜在未被识别的病例，人们的担忧持续存在。这些担忧源于难以确定谁可能是中毒的潜在受害者，以及如何、何时进行检测和检测什么。一般来说，一氧化碳没有有助于诊断的独特临床表现，而且已知它会模仿常见疾病并加重已有的疾病。作为一种气体，人类感官无法察觉它，并且它可能存在于大多数家庭中。本文综述了与一氧化碳中毒相关的问题，包括早期诊断的线索以及病理生理学和治疗的讨论。
