Kronik karbonmonoksit maruziyeti ve nöropsikiyatrik semptomlar
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Dosyalar
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Karbonmonoksit (CO) zehirlenmelerinin birçok ülkede ölümcül zehirlenmelerin yarısından fazlasının sebebi olduğu bildirilmiştir. Sağ kalan vakalarda psikiyatrik ve nörolojik sekeller görülebilmektedir. Yirmi üç yaşındaki bayan hasta baş dönmesi, bulantı ve kusma şikayetleri ile acil servisimize getirildi. Hastanın geceleri sobalı odada uyuduğu ve kışın başlangıcından itibaren neredeyse her sabah baş ağrısı olduğu ve baş dönmesi olduğu öğrenildi. Genel durumu orta, bilinci açık idi. Parmak ucundan bakılan oksijen saturasyonu %98, COHb seviyesi ise %17 olarak ölçülen hastanın; solunum ve kardiyovasküler sistem muayeneleri normaldi. Arter kan gazında CO seviyesi giderek azalarak 3. saatte normal seviyesine döndü. Hasta şikayetlerinin gerilemesi ve tüm laboratuvar sonuçlarının normal olması üzerine kontrole çağrılarak tavsiyeler ile taburcu edildi. Sonuç olarak, tekrarlayan baş dönmesi atakları olan hastalarda kronik CO maruziyeti her zaman akılda bulundurulmalı ve baş dönmesi şikayeti ile gelen her hastada zahmetsiz ve ucuz bir tetkik olan parmak ucu CO ölçümü ihmal edilmemelidir.
It is reported that carbon monoxide (CO) intoxications cause fatal poisoning in many countries more than half of CO Poisonings. Psychiatric and neurological sequela may be seen in survivors. A 23 years old woman admitted to our emergency department with dizziness, nausea and vomiting. Learned that the patient was sleeping room stove in the night and she had headache and dizziness almost every morning since the beginning of winter. She was conscious and her general state was moderate. Oxygen saturation was 98%, COHb level was 17%, measured from the fingertip; respiratory and cardiovascular system examination were rd normal. CO level in arterial blood gas gradually decreased and became normal in the 3 hour. Her complaints passed away and all laboratory results were normal. The patient was discharged with recommendations. In conclusion, chronic CO intoxication should always be kept in mind in patients with recurrent dizziness attacks, and CO measurement from the fingertip which is easy and cheap test should not be neglected in all patients with dizziness.
It is reported that carbon monoxide (CO) intoxications cause fatal poisoning in many countries more than half of CO Poisonings. Psychiatric and neurological sequela may be seen in survivors. A 23 years old woman admitted to our emergency department with dizziness, nausea and vomiting. Learned that the patient was sleeping room stove in the night and she had headache and dizziness almost every morning since the beginning of winter. She was conscious and her general state was moderate. Oxygen saturation was 98%, COHb level was 17%, measured from the fingertip; respiratory and cardiovascular system examination were rd normal. CO level in arterial blood gas gradually decreased and became normal in the 3 hour. Her complaints passed away and all laboratory results were normal. The patient was discharged with recommendations. In conclusion, chronic CO intoxication should always be kept in mind in patients with recurrent dizziness attacks, and CO measurement from the fingertip which is easy and cheap test should not be neglected in all patients with dizziness.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Harran Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
1
