Cook M, Simon P A, Hoffman R E
Division of Disease Control and Environmental Epidemiology, Colorado Department of Health, Denver 80222, USA.
Am J Public Health. 1995 Jul;85(7):988-90. doi: 10.2105/ajph.85.7.988.
Unintentional carbon monoxide poisonings were identified through death certificates, by hyperbaric chambers, and by laboratories required to report carboxyhemoglobin levels greater than 12%. From 1986 to 1991, 981 cases were reported, including 174 deaths. Deaths most often resulted from fire-related carbon monoxide intoxication (36.2%), followed by motor vehicle exhaust (34.5%), and furnaces (10.3%). Among nonfatal cases, furnaces were the leading source of carbon monoxide exposure (44.3%), followed by motor vehicle exhaust (22.8%). The importance of furnaces and other home heating devices in carbon monoxide intoxication may be underappreciated if only mortality data are examined. Surveillance of carbon monoxide-related morbidity is a useful adjunct to mortality surveillance in guiding prevention efforts.
通过死亡证明、高压氧舱以及要求报告碳氧血红蛋白水平高于12%的实验室来识别非故意一氧化碳中毒事件。1986年至1991年期间,共报告了981例病例,其中包括174例死亡。死亡最常见的原因是与火灾相关的一氧化碳中毒(36.2%),其次是机动车尾气(34.5%)和熔炉(10.3%)。在非致命病例中,熔炉是一氧化碳暴露的主要来源(44.3%),其次是机动车尾气(22.8%)。如果仅审查死亡率数据,熔炉和其他家庭取暖设备在一氧化碳中毒中的重要性可能未得到充分认识。对一氧化碳相关发病率的监测是死亡率监测在指导预防工作方面的有益补充。