小结
定义
病史和体格检查
关键诊断因素
- 一氧化碳暴露的风险
- 头痛
- 恶心
- 呕吐
- 眩晕
- 意识障碍
- 无力
- 头晕
- 呼吸困难
- 疼痛
- 低血压或高血压
- 睡眠改变
- 易怒
- 流感样症状
其他诊断因素
- 延迟性神经精神病特征
- 其他严重神经系统症状
- 局灶性神经系统异常
- 心搏骤停
- 肺水肿
- 弥散性血管内凝血
- 皮肤病变
危险因素
- 未完全燃烧的含碳燃料
- 二氯甲烷
诊断性检查
首要检查
- 血气分析
- 12 导联心电图
- 心脏监测
- 葡萄糖
- 全血细胞计数
- 尿素和电解质
- 肌酐
- 肌钙蛋白水平
- 肌酸激酶
需考虑的检查
- 头颅 CT
- 磁共振波谱
- 胸部 X 线检查
- 肝功能检测
- 妊娠试验
治疗流程
所有患者（急性或慢性一氧化碳中毒）
撰稿人
专家顾问
Alexander Alexiou, MB, BS, BSc, DCH, FRCEM, Dip IMC RCSEd
Emergency Medicine Consultant
Barts Health NHS Trust
Physician Response Unit Consultant
London’s Air Ambulance
Royal London Hospital
London
UK
利益声明
AA declares that he has no competing interests.
鸣谢
BMJ Best Practice would like to gratefully acknowledge the previous team of expert contributors, whose work is retained in parts of the content:
Jason J Rose, MD, MBA
Assistant Professor of Medicine and Biomedical Engineering
University of Pittsburgh
Pittsburgh
PA
Disclosures: JJR is a co-inventor on patent applications for the use of heme-based molecules as antidotes for CO poisoning. JJR is a shareholder, officer, and director of Globin Solutions, Inc. Globin Solutions, Inc. has an exclusive license to this technology. Globin Solutions, Inc. had an option agreement to technology directed at using hydroxycobalamin for CO poisoning from Virginia Commonwealth University in the last 12 months. JJR is an author of publications cited within this topic.
同行评议者
Robert Taylor, MBChB, MRCP(UK), MRCP(London), DipMedTox, DipTher PGDME, FHEA FRCEM
Acute Hospital Sub Dean (Cornwall)
Honorary Clinical Senior Lecturer
Consultant Emergency Physician
University of Exeter Medical School
Royal Cornwall Hospitals NHS trust
Truro
UK
利益声明
RT declares that he has no competing interests.
编辑
Emma Quigley
Section Editor, BMJ Best Practice
利益声明
EQ declares that she has no competing interests.
Tannaz Aliabadi-Oglesby
Lead Section Editor, BMJ Best Practice
利益声明
TAO declares that she has no competing interests.
Julie Costello
Comorbidities Editor, BMJ Best Practice
利益声明
JC declares that she has no competing interests.
Adam Mitchell
Drug Editor, BMJ Best Practice
利益声明
AM declares that he has no competing interests.
鉴别诊断
- 病毒性感染
- 酒精中毒
- 偏头痛
更多 鉴别诊断指南
- 关于医疗和急诊机构内用氧的指南
- 一氧化碳中毒：识别症状并查明原因
更多 指南
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