Parmentier-Decrucq Erika, Mathieu Daniel
Centre de réanimation, hôpital Salengro, Lille, France.
Rev Prat. 2019 Jan;69(1):75-79.
Carbon monoxide poisoning. Carbon monoxide poisoning is a frequent and serious intoxication with an important pre-hospital mortality. The diagnosis is made by the association of a context and compatible neurological and cardiac clinical signs. This diagnosis is now eased by home or firefighters detectors. Management is based primarily on the extraction of the toxic atmosphere and the administration of oxygen in emergency and, according to clinical presentation or context, hyperbaric oxygen therapy. This specialized therapy is necessary when exist any objective clinical sign, loss of consciousness or pregnancy. It aims to reduce the risk of neuropsychological and cognitive sequelae. Prevention of this intoxication is essential and motivates its reporting to the regional health agency.
一氧化碳中毒。一氧化碳中毒是一种常见且严重的中毒情况，院前死亡率较高。其诊断依据是结合相关背景以及相符的神经和心脏临床体征。如今，家用或消防员探测器使这一诊断变得更容易。治疗主要基于排除有毒气体环境，并在紧急情况下给予氧气，同时根据临床表现或具体情况进行高压氧治疗。当出现任何客观临床体征、意识丧失或怀孕时，这种特殊治疗是必要的。其目的是降低神经心理和认知后遗症的风险。预防这种中毒至关重要，并促使向地区卫生机构报告此类情况。
