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一氧化碳中毒及處理

Carbon Monoxide Poisoning and Management

摘要


一氧化碳中毒在台灣地區是主要造成意外之罹病率及致死率之一。一氧化碳中毒常發生在冬季月份。其來源包括:吸入火燒煙霧,加熱系統燃燒油料廢氣,車輛廢氣。徵候及症狀為非特異性,常被誤診為類似病毒疾病,輕則噁心、頭痛,重則中樞神經系統功能不良。一氧化碳中毒可造成組織缺氧,蒼白球破壞,瀰散性白質及腦部病變等。。靜脈血之碳化血紅素和動脈血差不多。早期線索為動脈血氧濃度高時,但血氧飽和濃度卻下降。高壓氧治療對一氧化碳中毒患是有效方式。預防之道在於保持通風環境,並且燃燒廢氣能有效排室外。

並列摘要


Carbon monoxide poisoning is a major cause of accidental morbidity and mortality in Taiwan. Epidemics of carbon monoxide poisoning commonly occur during winter months and its sources include: smoke from fires, fumes from heating systems burning fuels, and exhaust fumes from motor vehicles. The signs and symptoms are relatively nonspecific, which often misdiagnosis of a flu-like viral illness and may range from nausea and headache to profound central nervous system dysfunction. Carbon monoxide causes tissue hypoxia, globus pallidus damage as well as diffuse white mater lesions and encephalopathic changes. It is clear that venous carboxyhemoglobin levels are similar to arterial levels. An early clue to the presence of carbon monoxide poisoning is a decreased measured oxygen saturation in the presence of a high PaO2. Hyperbaric oxygen therapy is an effective method in treating carbon monoxide intoxicated patients. Prevention depends on adequate ventilation, with venting of combustion devices to the outside air.

被引用紀錄


吳世騰(2011)。應用地理資訊系統分析住居熱水器一氧化碳中毒事件及其防治對策-以新竹市消防局第二大隊轄區為例〔碩士論文,國立中央大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0031-1903201314422630

延伸閱讀


  • 高東煒、陳永煌、莊明憲、柯景馨、周稚傑、羅慶徽(2003)。一氧化碳中毒中華職業醫學雜誌10(3),167-174。https://doi.org/10.30027/CJOM.200307.0004
  • 邱彥文、吳政龍、王建楠、蘇世斌(2005)。淺談一氧化碳中毒基層醫學20(11),302-307。https://doi.org/10.6965/PMCFM.200511.0302
  • 陳昭男、陳鵬升(2010)。一氧化碳中毒家庭醫學與基層醫療25(10),385-388。https://doi.org/10.6965/FMPMC.201010.0385
  • 陳瓊芳、宋文舉(2002)。一氧化碳中毒中華民國兒童胸腔醫學會會刊3(1),1-10。https://doi.org/10.6322/OBSPP.200203_3(1).0001
  • Cheah, P. K., Zaharuddin, F. S., Rahman, N. H., Arifin, M. Y., & Abdullah, M. H. (2015). Carbon Monoxide Poisoning: Same Time, Same Place But Different Outcomes. International Journal of Case Reports and Images (IJCRI), 6(9), 542-545. https://doi.org/10.5348/ijcri-201508-CS-10059

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