Yenidoğan Döneminde Karbonmonoksit İntoksikasyonu: Vaka Sunumu

Year 2010, Volume: 10 Issue: 1, 47 - 50, 01.01.2010

Fatih Bolat Sinan Uslu Ali Bülbül Serdar Cömert Emrah Can Asiye Nuhoğlu

https://doi.org/10.5222/j.child.2010.047

Abstract

Karbonmonoksit gazı ülkemizde hâlâ yüksek mortalite ve morbiditeye yol açan, kış mevsiminde sık görülen önemli bir zehirlenme nedenidir. Her yaş grubunu etkileyebileceği öngörülse de neonatal dönemde literatürde bildirilmiş bir vaka sunumu yoktur. Bu makalede 3 günlük yenidoğan bir bebekte karbonmonoksit zehirlenme vakası literatür bilgileri eşliğinde sunuldu. Yakınları tarafından annesi ile birlikte evde derin uyku halinde bulunan 3 günlük erkek bebeğin karbonmonoksite maruziyeti düşünülerek bakılan karboksihemoglobin düzeyi % 15 bulundu. Muayenesinde taşipne dışında başka bir özellik yoktu. Normobarik oksijen ile 48. saatinde karboksihemoglobin düzeyi % 3’e düştü. Karbonmonoksit intoksikasyonu öntanılı yenidoğanlarda karboksihemoglobin düzeyi istenmeli ve erken oksijen tedavisine başlanmalıdır

Keywords

Karbonmonoksit, yenidoğan, tedavi, izlem

Carbonmonoxide Intoxication During Neonatal Period: A Case Report

Abstract

Carbonmonoxide poisoning still carries a high level of mortality and morbidity. To our knowledge there has been no prior presentation of a case of carbonmonoxide intoxication during neonatal period. In this case report, a newborn with carbonmonoxide intoxication will be discussed. A 3-days old male newborn and his mother were discovered to be in deep sleep. The carboxyhemoglobin level of the baby was found to be 15%. Physical examination revealed only tachypnea. With 100% normobaric oxygen treatment, CO-Hb level decreased to 3% in the 48th hour. Neonates with carbonmonoxide intoxication should be screened for carboxyhemoglobin levels and treated immediately with oxygen therapy.

Keywords

Carbonmonoxide, neonate, treatment, observation

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