Özgök-Kangal Münïre Kübra, Karatop-Cesur Iclal, Akcali Gökhan, Yildiz Senol, Uzun Günalp
Department of Underwater and Hyperbaric Medicine, Gülhane Askeri Tıp Akademisi, Sualtı Hekimliği ve Hiperbarik Tıp A.D. Etlik, Ankara, Turkey.
Department of Underwater and Hyperbaric Medicine, Gülhane Military Medicine Academy, Ankara, Turkey.
Diving Hyperb Med. 2016 Sep;46(3):176-180.
Carbon monoxide (CO) poisoning is common in Turkey. Our department is the main provider of emergency hyperbaric oxygen therapy (HBOT) in Ankara and neighboring cities. In this study, we analyzed the characteristics of CO-poisoned patients who were referred by phone to our department for emergency HBOT.
We retrospectively reviewed the records of phone consultations with emergency departments regarding the need for treatment of CO-poisoned patients with HBOT between 14 January 2014 and 14 January 2015. The following information was extracted from medical records: age, gender, CO source, exposure duration, carboxyhemoglobin (COHb) level, symptoms, electrocardiography (ECG) findings, cardiac enzymes, pregnancy, the distance of referring hospital to our centre, time between admission and consultation and HBOT decision.
Over the one-year period, 562 patients with CO poisoning were referred for HBOT. We recommended HBOT for 289 (51%) patients. HBOT was recommended for 58% (n = 194) of the patients with COHb ≥ 25%, 72% (n = 163) of the patients with a history of syncope, 67% (n = 35) of the patients with ECG abnormality, and 67% (n = 14) of pregnant patients. Patients for whom HBOT was not recommended despite having positive signs of severe poisoning were referred significantly later compared to patients for whom HBOT was recommended.
We found that the duration from admission to an emergency department to HBOT consultation affected our decision-making.
一氧化碳（CO）中毒在土耳其很常见。我们科室是安卡拉及周边城市紧急高压氧治疗（HBOT）的主要提供者。在本研究中，我们分析了通过电话转诊至我们科室进行紧急HBOT的CO中毒患者的特征。
我们回顾性分析了2014年1月14日至2015年1月14日期间与急诊科就CO中毒患者进行HBOT治疗需求的电话咨询记录。从病历中提取了以下信息：年龄、性别、CO来源、暴露时间、碳氧血红蛋白（COHb）水平、症状、心电图（ECG）结果、心肌酶、妊娠情况、转诊医院到我们中心的距离、入院与咨询之间的时间以及HBOT决策。
在这一年期间，有562例CO中毒患者被转诊进行HBOT。我们建议对289例（51%）患者进行HBOT。对于COHb≥25%的患者，58%（n = 194）被建议进行HBOT；有晕厥史的患者，72%（n = 163）被建议进行HBOT；有ECG异常的患者，67%（n = 35）被建议进行HBOT；孕妇中，67%（n = 14）被建议进行HBOT。尽管有严重中毒的阳性体征但未被建议进行HBOT的患者，与被建议进行HBOT的患者相比，转诊时间明显更晚。
我们发现从急诊科入院到HBOT咨询的时间影响了我们的决策。
