Machado B, Cross K, Snodgrass W R
Department of Emergency Medicine, Richland Memorial Hospital, Columbia, South Carolina.
Ann Emerg Med. 1988 Aug;17(8):804-7. doi: 10.1016/s0196-0644(88)80558-4.
One hundred eighty-four telephone calls to the Texas State Poison Center concerning accidental hydrocarbon ingestion were reviewed in an attempt to define the risk of developing any subsequent medical problem requiring therapeutic intervention. Special attention was given to changing symptom severity in an attempt to evaluate its usefulness in predicting future complications. One hundred twenty patients (65%) had no initial symptoms and remained asymptomatic throughout an 18-hour follow-up period. Sixty-two (34%) of patients had symptoms initially but quickly became asymptomatic. Two (1%) developed significant complications (one chemical pneumonitis, one death). These data suggest that the risk of significant complications after accidental hydrocarbon ingestion is low (approximately 1% of patients at risk). Patients who are asymptomatic or who quickly become asymptomatic can be watched safely at home, and referral of asymptomatic patients to a hospital may be unwarranted.
对拨打德克萨斯州中毒控制中心的184个关于意外摄入碳氢化合物的电话进行了回顾，以确定出现任何需要治疗干预的后续医疗问题的风险。特别关注症状严重程度的变化，以评估其在预测未来并发症方面的有用性。120名患者（65%）最初没有症状，在18小时的随访期内一直无症状。62名（34%）患者最初有症状，但很快就无症状了。2名（1%）出现了严重并发症（1例化学性肺炎，1例死亡）。这些数据表明，意外摄入碳氢化合物后出现严重并发症的风险较低（约1%的风险患者）。无症状或很快无症状的患者可以在家中安全观察，将无症状患者转诊至医院可能没有必要。
