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一氧化碳中毒:易于治疗但难以识别。

Carbon monoxide poisoning: easy to treat but difficult to recognise.

作者信息

Balzan M V, Agius G, Galea Debono A

机构信息

Department of Medicine, St Luke's Hospital, Guardamangia, Malta.

出版信息

Postgrad Med J. 1996 Aug;72(850):470-3. doi: 10.1136/pgmj.72.850.470.

Abstract

Carbon monoxide (CO) poisoning is a common medical emergency and a frequent cause of deliberate or accidental death. It can cause acute and chronic central nervous system damage which may be minimised by prompt treatment with 100% oxygen or hyperbaric oxygen therapy. However, recognition of this intoxication can be difficult. Failure to diagnose it may have disastrous effects on the patient, and other members of the household who could subsequently become intoxicated. Guidance on the correct diagnosis of this condition is provided in the light of a number of studies screening emergency room populations. Guidelines for treatment with hyperbaric oxygen therapy are also reviewed.

摘要

一氧化碳(CO)中毒是一种常见的医疗急症,也是蓄意或意外死亡的常见原因。它可导致急慢性中枢神经系统损害,通过及时给予100%氧气或高压氧治疗可将损害降至最低。然而,这种中毒的诊断可能很困难。未能诊断可能会对患者以及随后可能中毒的其他家庭成员造成灾难性影响。根据多项针对急诊室人群的筛查研究,提供了关于这种病症正确诊断的指导。还对高压氧治疗的指南进行了综述。

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本文引用的文献

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PRIMARY MYOCARDIAL DISEASE IN MAN RESULTING FROM ACUTE CARBON MONOXIDE POISONING.
Am J Med. 1965 Feb;38:316-20. doi: 10.1016/0002-9343(65)90186-5.
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MRI of the brain in chronic carbon monoxide poisoning.
Neuroradiology. 1994 Jul;36(5):399-401. doi: 10.1007/BF00612127.
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Postgrad Med J. 1994 Oct;70(828):699-702. doi: 10.1136/pgmj.70.828.699.

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