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一氧化碳中毒

最后审阅: 13 Feb 2025
最后更新: 09 Jun 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 火灾暴露及烟雾吸入
  • 恶心
  • 头痛
  • 呕吐
  • 视力模糊
  • 头晕
  • 皮肤水疱
  • 心动过速
  • 低血压
  • 心律失常
  • 肺水肿
  • 意识模糊
  • 昏迷
完整详情

其他诊断因素

  • 惊厥
  • 二氯甲烷
  • 局灶性神经系统功能异常(如偏瘫)
完整详情

危险因素

  • 未完全燃烧的含碳燃料
  • 火灾暴露及烟雾吸入
  • 二氯甲烷
完整详情

诊断性检查

首要检查

  • 碳氧血红蛋白水平
  • 心电图 (ECG)
  • 心脏监测
  • 血糖
  • 乳酸
  • pH 值
  • 心脏生物标志物
完整详情

需考虑的检查

  • 胸部 X 线检查
  • 肌酸激酶
  • 简易精神状态检查 (MMSE)
  • 头颅 CT
完整详情

新兴检查

  • 磁共振波谱

治疗流程

急症处理

所有患者

撰稿人

作者

Jason J Rose, MD, MBA

Assistant Professor of Medicine and Biomedical Engineering

University of Pittsburgh

Pittsburgh

PA

利益声明

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.

鸣谢

Dr Jason Rose would like to gratefully acknowledge Dr Prasanthi Govindarajan, a previous contributor to this topic. PG declares that she has no competing interests.

Peer reviewers

Richard S. Weisman, PharmD

Director

Florida Poison Center

Miami

FL

Disclosures

RSW declares that he has no competing interests.

Sean Patrick Nordt, MD, PharmD

Resident Physician

Department of Emergency Medicine

University of California

San Diego

CA

Disclosures

SPN declares that he has no competing interests.

Paul Hamilton, MD

Director

Department of Emergency Medicine

Mount Sinai School of Medicine

New York

NY

Disclosures

PH declares that he has no competing interests.

Ruben Thanacoody, MD, FRCP(Edin)

Consultant Physician and Clinical Toxicologist

Regional Drugs and Therapeutics Centre

Newcastle-upon-Tyne

UK

Disclosures

RT declares that he has no competing interests.

  • Differentials

    • 病毒性感染
    • 酒精中毒
    • 镇静催眠类药物过量
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  • Guidelines

    • 一氧化碳:事件管理
    • BTS  关于 医疗和急诊情境中用氧的指南
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  • Patient information

    一氧化碳中毒

    More Patient information
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