Nielsen H, Johannessen A C
Hillerød Sygehus, medicinsk afdeling B.
Ugeskr Laeger. 1994 Jan 17;156(3):322-3.
Carbon monoxide causes one third of all poisoning deaths in Denmark, but is probably grossly underdiagnosed. We present a case where an elderly couple was admitted on several occasions to local hospitals with a variety of symptoms and signs; e.g. flu-like symptoms, generalized seizures, polycythaemia, chest pain, and ventricular tachycardia. The correct diagnosis, carbon monoxide poisoning, was made when the dog in the family was found dead; examination of the natural gas boiler revealed sooting, clogging of the flue, and a carbon monoxide concentration above 0.2 percent. The natural gas boiler had not been checked after installation five years earlier. Natural gas installations are becoming still more prevalent in Danish homes, but present regulations regarding the installations are apparently not yet able to prevent new incidents of carbon monoxide poisoning.
在丹麦，一氧化碳中毒导致的死亡占所有中毒死亡人数的三分之一，但很可能存在大量漏诊情况。我们报告一例病例，一对老年夫妇多次因各种症状和体征被送往当地医院；例如，类似流感的症状、全身性癫痫发作、红细胞增多症、胸痛和室性心动过速。当家中的狗被发现死亡时，才做出了正确诊断——一氧化碳中毒；对天然气锅炉的检查发现有积炭、烟道堵塞，一氧化碳浓度超过0.2%。这台天然气锅炉自五年前安装后就从未检查过。天然气装置在丹麦家庭中越来越普遍，但目前关于这些装置的规定显然还无法预防一氧化碳中毒新事件的发生。
