Gobbato F, Cont A
Istituto di Medicina del Lavoro dell'Università degli Studi di Trieste.
G Ital Med Lav. 1989 May-Jul;11(3-4):103-8.
Carbon monoxide is one of the most common cause of poisoning both in industry and in homes. About 75-80% of cases of acute oxicarbonism occur in homes. The chief domestic source of poisoning was in the past the escape of illuminating gas, today the incomplete combustion of methane or GPL. On the basis of personal experience the authors illustrate the kinetics of absorption and the mechanism of action of CO, the clinical pattern of acute poisoning and the elements of prognostic value. A careful distinction must be done between acute oxicarbonism and acute intoxication from fire-smoke at the physiopathological, clinical and therapeutic level.
一氧化碳是工业和家庭中最常见的中毒原因之一。约75-80%的急性一氧化碳中毒病例发生在家庭中。过去,家庭中毒的主要来源是照明气泄漏,如今则是甲烷或液化石油气的不完全燃烧。基于个人经验,作者阐述了一氧化碳的吸收动力学和作用机制、急性中毒的临床症状以及预后价值要素。在生理病理、临床和治疗层面,必须仔细区分急性一氧化碳中毒和火灾烟雾急性中毒。