Silvers S M, Hampson N B
Hyperbaric Department, Virginia Mason Medical Center, Seattle, Wash, USA.
JAMA. 1995;274(20):1614-6.
To describe the case characteristics of a series of patients poisoned with carbon monoxide (CO) while boating for recreation.
Cases of patients referred for treatment of CO poisoning with hyperbaric oxygen were reviewed. Those cases that occurred during recreational boating were selected for analysis.
A private, urban, tertiary care center studied from July 1984 to June 1994.
Thirty-nine patients ranging in age from 6 months to 69 years who were poisoned in 27 separate incidents.
Characteristics of the poisoning incidents were assessed at initial patient presentation, immediately following treatment, and with follow-up telephone interviews.
Of 512 patients treated for acute unintentional CO poisoning, 39 cases (8%) occurred in 27 incidents related to recreational boating activities. Individuals typically lost consciousness as a result of the poisoning. Most cases occurred aboard a boat that was older than 10 years, had an enclosable cabin, was longer than 22 feet, was powered by a gasoline engine, and was without a CO detector on board.
Carbon monoxide poisoning is a serious hazard associated with recreational boating. The installation of CO detectors aboard boat types typically associated with this syndrome should be strongly encouraged.
描述一系列在划船休闲时一氧化碳（CO）中毒患者的病例特征。
回顾接受高压氧治疗一氧化碳中毒患者的病例。选择那些在休闲划船期间发生的病例进行分析。
1984年7月至1994年6月期间研究的一家私立城市三级护理中心。
39例年龄从6个月至69岁的患者，在27起不同事件中中毒。
在患者初次就诊时、治疗后立即以及通过后续电话访谈评估中毒事件的特征。
在512例接受急性非故意一氧化碳中毒治疗的患者中，39例（8%）发生在与休闲划船活动相关的27起事件中。中毒者通常会失去意识。大多数病例发生在一艘使用超过10年、有可封闭船舱、长度超过22英尺、由汽油发动机驱动且船上没有一氧化碳探测器的船上。
一氧化碳中毒是与休闲划船相关的严重危害。应强烈鼓励在通常与此综合征相关的船型上安装一氧化碳探测器。
