Lattere M, Raspino M, Vietti Ramus M, Peisino M G, Renier S, Bet N
Servizio di Accettazione, Istituto Scientifico G. Gaslini di Genova, Italia.
Pediatr Med Chir. 1994 Nov-Dec;16(6):565-9.
Epidemiological and clinical aspects of 233 children below 14 years of age with acute carbon-monoxide poisoning are presented. Patients were recorded in the retrospective part of the M.S.P.C. (Multicentre Study of Poisoning in Children) at Genova, Torino and Trieste pediatric hospitals during 1975/90. Carbon-monoxide poisoning resulted to be a main toxic risk in children by considering its frequency and the severity of symptoms; three cases of death occurred. In particular, differences between symptoms in small children (under the age of 4 years) and adults are emphasised. This poisoning has to be suspected even in the presence of minor symptoms; the blood carboxyhemoglobin assay confirms the diagnosis and is useful to avoid further exposure.
本文介绍了233例14岁以下儿童急性一氧化碳中毒的流行病学和临床情况。这些患者是在1975年至1990年期间，热那亚、都灵和的里雅斯特儿童医院进行的儿童中毒多中心研究（M.S.P.C.）的回顾性研究部分记录的。考虑到一氧化碳中毒的发生频率和症状严重程度，它已成为儿童主要的中毒风险；有3例死亡病例。特别强调了幼儿（4岁以下）与成人症状之间的差异。即使存在轻微症状，也必须怀疑有这种中毒情况；血液碳氧血红蛋白检测可确诊，并有助于避免进一步接触。
