Piatt J P, Kaplan A M, Bond G R, Berg R A
Division of Pediatrics, Maricopa Medical Center.
Pediatr Emerg Care. 1990 Mar;6(1):21-3. doi: 10.1097/00006565-199003000-00007.
The diagnosis of occult carbon monoxide poisoning in children is a difficult problem and may be frequently overlooked. An infant with recurrent episodes of unrecognized CO exposure and subsequent neurologic deterioration is presented. A clue to the diagnosis in this case was the finding of basal ganglia abnormalities on computed tomography. Clinical findings, etiology, and treatment of CO poisoning are reviewed. We suggest that CO toxicity should be suspected in any child with acute or recurrent neurologic deterioration.
儿童隐匿性一氧化碳中毒的诊断是一个难题，可能经常被忽视。本文介绍了一名婴儿，反复发生未被识别的一氧化碳暴露事件，随后出现神经功能恶化。该病例诊断的一个线索是计算机断层扫描发现基底节异常。本文回顾了一氧化碳中毒的临床表现、病因及治疗。我们建议，任何急性或反复出现神经功能恶化的儿童都应怀疑一氧化碳中毒。
