- 期刊
燒炭自殺所致一氧化碳中毒病患之臨床分析
Clinical Analysis and Prognosis of Suicide by Charcoal Burning Induced Carbon Monoxide Intoxication
摘要
Objectives: Accidental and intentional carbon monoxide intoxication are the common causes of emergent service. The victims of suicide by charcoal burning increased in recent years. The clinical manifestation of suicide associated charcoal burning related CO intoxication was still not well studied. Methods: We conducted a retrospective study to collect the cases of CO intoxication in the emergency room of a medical center in southern Taiwan between 2005/1/1 and 2005/12/31. We selected the cases of CO intoxication by ICD code. We collected demographic data, including age, gender, cause of intoxication, clinical presentation, laboratory results (blood, chemistry, CO-Hb concentration when arrive hospital), ect. Totally, 140 cases were recruited into the analysis. Results: The most prevalent age group for CO intoxication is 20-50 years old. The major occur site of CO intoxication is home and there is no difference in seasons among the occurrence of CO intoxication. The conscious level and severity of CO-Hb of suicide by charcoal burning were worse than accidental cause. And the prognosis of charcoal burning induced CO intoxication was also poor than accidental cases. There were 64 cases (96.9%) of suicide by charcoal burning were diagnosed or suspected with depression after psychiatric consultation. Conclusion: The prognosis of suicide by charcoal burning victims was poor, but there was still high portion of patients might recover from emergency service treatment. The result also showed that depression was the major cause of suicide by charcoal burning. Proper psychological health education and suicide prevention should be implemented in our society emergently.
並列摘要
Objectives: Accidental and intentional carbon monoxide intoxication are the common causes of emergent service. The victims of suicide by charcoal burning increased in recent years. The clinical manifestation of suicide associated charcoal burning related CO intoxication was still not well studied. Methods: We conducted a retrospective study to collect the cases of CO intoxication in the emergency room of a medical center in southern Taiwan between 2005/1/1 and 2005/12/31. We selected the cases of CO intoxication by ICD code. We collected demographic data, including age, gender, cause of intoxication, clinical presentation, laboratory results (blood, chemistry, CO-Hb concentration when arrive hospital), ect. Totally, 140 cases were recruited into the analysis. Results: The most prevalent age group for CO intoxication is 20-50 years old. The major occur site of CO intoxication is home and there is no difference in seasons among the occurrence of CO intoxication. The conscious level and severity of CO-Hb of suicide by charcoal burning were worse than accidental cause. And the prognosis of charcoal burning induced CO intoxication was also poor than accidental cases. There were 64 cases (96.9%) of suicide by charcoal burning were diagnosed or suspected with depression after psychiatric consultation. Conclusion: The prognosis of suicide by charcoal burning victims was poor, but there was still high portion of patients might recover from emergency service treatment. The result also showed that depression was the major cause of suicide by charcoal burning. Proper psychological health education and suicide prevention should be implemented in our society emergently.