Unsal Sac Rukiye, Taşar Medine Ayşin, Bostancı İlknur, Şimşek Yurda, Bilge Dallar Yıldız
Ministry of Health, Ankara Training and Research Hospital, Pediatrics Clinic, Ankara, Turkey.
Ministry of Health, Dr. Sami Ulus Women's and Children's Health and Research Teaching Hospital, Department of Pediatric Allergy and Asthma, Ankara, Turkey.
J Korean Med Sci. 2015 Dec;30(12):1836-40. doi: 10.3346/jkms.2015.30.12.1836. Epub 2015 Nov 30.
The purpose of the study was to define characteristics of children with acute carbon monoxide poisoning. Eighty children hospitalized with acute carbon monoxide poisoning were recruited prospectively over a period of 12 months. Sociodemographic features, complaints and laboratory data were recorded. When the patient was discharged, necessary preventive measures to be taken were explained to parents. One month later, the parents were questioned during a control examination regarding the precautions that they took. The ages of the cases were between one month and 16 yr. Education levels were low in 86.2% of mothers and 52.6% of fathers. All families had low income and 48.8% did not have formal housing. The source of the acute carbon monoxide poisoning was stoves in 71.2% of cases and hot-water heaters in 28.8% of cases. Three or more people were poisoned at home in 85.1% of the cases. The most frequent symptoms of poisoning were headache and vertigo (58.8%). Median carboxyhemoglobin levels at admission to the hospital and discharge were measured as 19.5% and 1.1% (P < 0.001). When families were called for re-evaluation, it was determined that most of them had taken the necessary precautions after the poisoning incident (86.3%). This study determined that children with acute childhood carbon monoxide poisoning are usually from families with low socioeconomic and education levels. Education about prevention should be provided to all people who are at risk of carbon monoxide poisoning before a poisoning incident occurs.
该研究的目的是明确急性一氧化碳中毒儿童的特征。在12个月的时间里,前瞻性招募了80名因急性一氧化碳中毒住院的儿童。记录了社会人口统计学特征、症状及实验室数据。患者出院时,向家长解释了需采取的必要预防措施。1个月后,在一次对照检查中询问家长他们采取的预防措施。病例年龄在1个月至16岁之间。86.2%的母亲和52.6%的父亲教育水平较低。所有家庭收入都很低,48.8%没有正规住房。急性一氧化碳中毒的来源在71.2%的病例中是炉灶,28.8%的病例中是热水器。85.1%的病例中家中有三人或更多人中毒。中毒最常见的症状是头痛和眩晕(58.8%)。入院时和出院时碳氧血红蛋白水平的中位数分别测得为19.5%和1.1%(P<0.001)。当要求家庭进行重新评估时,确定大多数家庭在中毒事件后已采取了必要的预防措施(86.3%)。本研究确定,急性儿童一氧化碳中毒患儿通常来自社会经济和教育水平较低的家庭。应在中毒事件发生前,向所有有一氧化碳中毒风险的人提供预防教育。