Kirkpatrick J N
West J Med. 1987 Jan;146(1):52-6.
A syndrome of headache, fatigue, dizziness, paresthesias, chest pain, palpitations and visual disturbances was associated with chronic occult carbon monoxide exposure in 26 patients in a primary care setting. A causal association was supported by finding a source of carbon monoxide in a patient's home, workplace or vehicle; results of screening tests that ruled out other illnesses; an abnormally high carboxyhemoglobin level in 11 of 14 patients tested, and abatement or resolution of symptoms when the source of carbon monoxide was removed. Exposed household pets provided an important clue to the diagnosis in some cases. Recurrent occult carbon monoxide poisoning may be a frequently overlooked cause of persistent or recurrent headache, fatigue, dizziness, paresthesias, abdominal pain, diarrhea and unusual spells.
在基层医疗环境中，26名患者因长期隐匿性接触一氧化碳而出现头痛、疲劳、头晕、感觉异常、胸痛、心悸和视觉障碍综合征。在患者家中、工作场所或车辆中发现一氧化碳来源；排除其他疾病的筛查测试结果；14名接受测试的患者中有11名碳氧血红蛋白水平异常升高；以及去除一氧化碳来源后症状减轻或消失，这些都支持了因果关系。在某些情况下，暴露的家养宠物为诊断提供了重要线索。反复隐匿性一氧化碳中毒可能是持续性或复发性头痛、疲劳、头晕、感觉异常、腹痛、腹泻和异常发作的一个经常被忽视的原因。
