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以孤立性癫痫发作为表现的一氧化碳中毒

Carbon monoxide poisoning presenting as an isolated seizure.

作者信息

Herman L Y

机构信息

St. Francis Hospital, Wilmington, Delaware 19805-2500, USA.

出版信息

J Emerg Med. 1998 May-Jun;16(3):429-32. doi: 10.1016/s0736-4679(98)00009-2.

Abstract

Seizures are generally regarded as a manifestation of extreme, generally near-fatal carbon monoxide poisoning. A case is described in which a seizure attributable to carbon monoxide poisoning occurred in a small child at a level not thought to be associated with serious neurologic toxicity. A literature review of the occurrence of seizures in carbon monoxide poisoning found that no particular degree of carboxyhemoglobin was correlated with the presence of seizures. A seizure with no other apparent cause occurring in circumstances in which carbon monoxide toxicity would be suspected can be attributed to carbon monoxide poisoning.

摘要

癫痫发作通常被视为极端的、一般近乎致命的一氧化碳中毒的一种表现。本文描述了一个案例,一名幼儿发生了由一氧化碳中毒引起的癫痫发作,而当时一氧化碳的浓度被认为与严重神经毒性无关。对一氧化碳中毒时癫痫发作情况的文献综述发现,没有特定程度的碳氧血红蛋白与癫痫发作的存在相关。在怀疑有一氧化碳中毒的情况下发生的无其他明显原因的癫痫发作可归因于一氧化碳中毒。

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