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一氧化碳中毒:14例患者的回顾

Carbon monoxide intoxication: a review of 14 patients.

作者信息

Whorton M D

出版信息

JACEP. 1976 Jul;5(7):505-9. doi: 10.1016/s0361-1124(76)80283-3.

Abstract

In 14 cases of carbon monoxide poisoning, medical records were available for retrospective review in which blood samples for carboxyhemoglobin (COHgb) were obtained. Twelve victims (86%) were overcome while at work. Correlation of the clinical picture and COHgb saturation was not always possible although hypertension was not uncommon initially. On follow-up only three patients were mildly hypertensive. Skin or mucous membrane color changes were difficult to detect. Three cases are presented to illustrate factors in the diagnosis and possible sequelae.

摘要

在14例一氧化碳中毒病例中,有病历可供回顾性审查,从中获取了碳氧血红蛋白(COHgb)的血样。12名受害者(86%)是在工作时中毒的。虽然最初高血压并不罕见,但临床症状与碳氧血红蛋白饱和度之间并不总是能够建立关联。随访时只有3例患者有轻度高血压。皮肤或黏膜颜色变化很难察觉。现介绍3个病例以说明诊断中的因素及可能的后遗症。

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