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2001 - 2003年美国非火灾相关的意外一氧化碳暴露情况

Unintentional non-fire-related carbon monoxide exposures--United States, 2001-2003.

出版信息

MMWR Morb Mortal Wkly Rep. 2005 Jan 21;54(2):36-9.

Abstract

Carbon monoxide (CO) is a colorless, odorless, poisonous gas that results from incomplete combustion of fuels (e.g., natural or liquefied petroleum gas, oil, wood, coal, or other fuels). CO sources (e.g., furnaces, generators, gas heaters, and motor vehicles) are common in homes or work environments and can put persons at risk for CO exposure and poisoning. Most signs and symptoms of CO exposure are nonspecific (e.g., headache or nausea) and can be mistakenly attributed to other causes, such as viral illnesses. Undetected or unsuspected CO exposure can result in death. To examine fatal and nonfatal unintentional, non-fire-related CO exposures, CDC analyzed 2001-2003 data on emergency department (ED) visits from the National Electronic Injury Surveillance System All Injury Program (NEISS-AIP) and 2001-2002 death certificate data from the National Vital Statistics System (NVSS). During 2001-2003, an estimated 15,200 persons with confirmed or possible non-fire-related CO exposure were treated annually in hospital EDs. In addition, during 2001-2002, an average of 480 persons died annually from non-fire-related CO poisoning. Although males and females were equally likely to visit an ED for CO exposure, males were 2.3 times more likely to die from CO poisoning. Most (64%) of the nonfatal CO exposures occurred in homes. Efforts are needed to educate the public about preventing CO exposure.

摘要

一氧化碳(CO)是一种无色、无味的有毒气体,由燃料(如天然气、液化石油气、石油、木材、煤炭或其他燃料)不完全燃烧产生。一氧化碳的来源(如熔炉、发电机、燃气加热器和机动车)在家庭或工作环境中很常见,可能使人们面临一氧化碳暴露和中毒的风险。一氧化碳暴露的大多数体征和症状都不具有特异性(如头痛或恶心),可能会被误诊为其他病因,如病毒性疾病。未被发现或未被怀疑的一氧化碳暴露可能导致死亡。为了调查致命和非致命的、非火灾相关的一氧化碳暴露情况,美国疾病控制与预防中心(CDC)分析了2001 - 2003年国家电子伤害监测系统全伤害项目(NEISS - AIP)的急诊科就诊数据,以及2001 - 2002年国家生命统计系统(NVSS)的死亡证明数据。在2001 - 2003年期间,估计每年有15200名确诊或可能因非火灾相关一氧化碳暴露而接受治疗的患者前往医院急诊科就诊。此外,在2001 - 2002年期间,平均每年有480人死于非火灾相关的一氧化碳中毒。虽然男性和女性因一氧化碳暴露前往急诊科就诊的可能性相同,但男性死于一氧化碳中毒的可能性是女性的2.3倍。大多数(64%)非致命的一氧化碳暴露发生在家庭中。需要开展相关工作来教育公众预防一氧化碳暴露。

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