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本文报告一例以肝损害及肠梗阻为主要临床表现的重度一氧化碳中毒。患者24岁,女。入院前三个月,每当在厨房做饭时即感搏动性头痛。后来发现煤气炉烟道堵塞。入院当晚,她在厨房操作一个半小时,出现头痛、头晕,仍继续操作,随即不省人事。二小时后被发现,接触一氧化碳的时间为3.5小时。发现病人15分钟后入院,患者深昏迷,肛温33℃,血压90/60mmHg;未见黄疸、肝大或灶性神经病学体征;皮肤呈粉红色,血中COHb34％,确诊为一氧化碳中毒。中毒后12小时检查:Hb 17.7g/dl,WHC 33000/mm~3,血小板101000/mm~3,纤维蛋白降解产物含量升高,凝血酶原时间47秒(对照12秒),血脲
This article reports a case of severe carbon monoxide poisoning with liver damage and intestinal obstruction as the main clinical manifestation. Patient 24 years old, female. Three months before admission, she has a throbbing headache whenever she cooks in the kitchen. Later found the gas stove flue blockage. On the night of admission, she worked in the kitchen for an hour and a half with headache, dizziness, and continued to operate, which was immediately unconscious. Two hours later it was found that the exposure to carbon monoxide took 3.5 hours. The patient was admitted 15 minutes later. The patient was deeply comatose, with rectal temperature at 33 ° C and blood pressure of 90/60 mmHg. No jaundice, hepatomegaly or focal neurological signs were observed. The skin was pink and COHb was 34% in the blood, diagnosed as carbon monoxide poisoning. 12 hours after poisoning, Hb 17.7g / dl, WHC 33000 / mm ~ 3, platelet 101000 / mm ~ 3, increased fibrin degradation products, prothrombin time 47 seconds (control 12 seconds)