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