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一氧化碳中毒诱发心房颤动及高压氧成功治疗

Atrial Fibrillation Induced by Carbon Monoxide Poisoning and Successful Treatment with Hyperbaric Oxygen.

作者信息

Gedela Maheedhar, Weltman Nathan Y, Chavvakula Naga Sushma, Carpenter Paul L, Sturm Tamera

机构信息

University of South Dakota Sanford School of Medicine.

Sri Manakula Vinayagar Medical College and Hospital, India.

出版信息

S D Med. 2017 Jul;70(7):319-321.

Abstract

Carbon monoxide (CO) intoxication is one of the major public health hazards which may go unnoticed as this is a colorless, odorless and tasteless gas. The manifestations of the CO poisoning are far-reaching. Although CO affects almost every organ in the body, cerebral and myocardial involvement are predominant due to the hypoxia-induced cellular damage. The mainstay treatment is providing high-flow oxygen and in some instances hyperbaric oxygen therapy. In the literature, there have been few cases of CO poisoning-induced atrial fibrillation (AF) reported. We hereby report an AF caused by CO toxicity in a young male patient and successful conversion to sinus rhythm with the hyperbaric therapy.

摘要

一氧化碳(CO)中毒是主要的公共卫生危害之一,由于这种气体无色、无味、无嗅,可能未被察觉。CO中毒的表现影响深远。尽管CO几乎会影响身体的每个器官,但由于缺氧导致的细胞损伤,脑和心肌受累最为突出。主要治疗方法是提供高流量氧气,在某些情况下采用高压氧治疗。在文献中,鲜有CO中毒诱发心房颤动(AF)的病例报道。我们在此报告一名年轻男性患者因CO中毒导致AF,并通过高压氧治疗成功转为窦性心律。

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