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Special pathway 2 cases of carbon monoxide poisoning

56, Pl10 times / min, BP110/70mmHg was unconscious,[link widoczny dla zalogowanych], and call not, no response to supraorbital nerve pressure, physical examination no other abnormal findings (patient woke up and found to have urinary incontinence.) According to family members and neighbors said that before the author had convulsions 1. 63-year-old male patient, P90 times / min, BP150/90mmHg, patients with clear consciousness, private prosecution headache, dizziness (two sons were out time of the incident), female patients at the time could not find a coma, cause convulsions. Click A closer examination found that female patients with cherry red lips were again asked whether the patients rubbed lipstick family and neighbors, the family immediately denied. Small fire extinguished at this time basically. House fire in the process because, in addition to the woman's lips were cherry red, convulsions, coma history. Furthermore, there is also incidence of family members who, although mild, only headache, dizziness, so the suspected CO poisoning,[link widoczny dla zalogowanych], open doors and windows after about 20min after the patient gradually clear. At this time party identified as CO poisoning. After the move to keep warm outdoors female patients, after treatment, complete remission of the symptoms 2. 2,2005 cases during the same period, the same family, same situation, the same members (two children are not at home), his son home after 4 o'clock in the afternoon found that parents were headache complaints were the bed in the bedroom, where his mother has been vomiting after unconscious (awake also found urinary incontinence), immediately call the author visits. I found that female patients were sleeping at home but may, and call his father, also complaints of headache, dizziness, light a fire because patients are not at home, similar to the previous situation, when considering the potential for the poisoning caused by history taking, all patients clean diet and drug intake, but by opening windows and doors, the symptoms quickly relieve, thinking back side may have CO poisoning may be considered. After repeated search I found a small stove is not burning chimney flue and building shared similarities, for consideration of sources of CO may be shared flue. Discussion and analysis of CO 2 is a colorless, odorless gas, and the hemoglobin is characterized by high affinity, which is when the other characteristics of the carbon burning case can not be adequately before being generated. And 2 cases of poisoning in this case CO poisoning and other means different from the CO equipment is not in the daylight occurs, you can not make one think that is the CO poisoning. This case in particular, the 2nd (Spring 2005) where the CO is generated in the fourth, five stories high, while patients in the layer, they only share the flue gas pipe connected. It is how to get a layer of it? This is the key reason for this case is also the author of the etiological diagnosis was repeated mistakes. The CO is lighter than air baffling. I mulled over by the place because the CO: at 4 pm is the time of each are not the fire,[link widoczny dla zalogowanych], so fire is sealed with, and bank up a fire to get the full combustion of coal, resulting in a large number of CO. The weather is hot outside, no wind, the air up the flue blocked flue with the words of the people are resisting, and then a vicious circle,[link widoczny dla zalogowanych], so that more coal burning furnace is not sufficient, when the flue is full of a lot of CO but not time out from the flue, the bottom two of the CO to reach the cause CO poisoning. In addition, when the first occurred, I followed up after female patients, according to her I tell her after lunch, because the house is not cold no fire then combined to shut the stove. When the lid opens at 4 pm that the fire had extinguished. With wood fire, that fire does not suck up the hand after the test and found that there is no suction of the chimney, then to unconscious patients, similar to described in the literature stroke-type 'or' lightning-like 'CO poisoning. Therefore, whether this can be considered: When the fire burning after CO poisoning, can explain the source of a large number of CO can come from the top, because the first floor of the stove has not produce CO, so it can be said on the first floor of the stove caused a very low probability of a large number of CO . Second, when the flue is too long prone to this, I have lived in northern Shaanxi. If the fire pit near the northern cave where the flue, leaving a small opening in advance, usually a soft cloth with a bag of bricks stuffed. When the fire is not busy, the paper thrown into a fire caused by hot air to rise, then the fire wang. The lesson from this case is: Health furnace flue when the building is not common in the use or be used with care, especially when the early warm cold at first glance. I recommend that patients will not appear on the first floor flue closed after poisoning. The majority of students in northern China where the stove, hoping to give tenants a similar situation reminded to guard against CO poisoning. Special way because the form of poisoning caused by negligence easily misdiagnosed and mistreated, so in the treatment of CO poisoning to remind colleagues to pay attention. Received 2005-09-19 (Editor Xiaoxu)