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
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）
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
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
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
新兴检查
- 磁共振波谱
治疗流程
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.
同行评议者
Richard S. Weisman, PharmD
Director
Florida Poison Center
Miami
FL
利益声明
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
利益声明
SPN declares that he has no competing interests.
Paul Hamilton, MD
Director
Department of Emergency Medicine
Mount Sinai School of Medicine
New York
NY
利益声明
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
利益声明
RT declares that he has no competing interests.
鉴别诊断
- 病毒性感染
- 酒精中毒
- 镇静催眠类药物过量
更多 鉴别诊断指南
- 一氧化碳：事件管理
- BTS 关于 医疗和急诊情境中用氧的指南
更多 指南患者教育信息
一氧化碳中毒
更多 患者教育信息
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