Karboksihemoglobin %65 Hasta Yaşar mı? Peki ya Sekel?

Öz

Karbon monoksit dünyada ölümle sonuçlanan zehirlenmelerin yaklaşık yarısını oluşturmaktadır. Hücresel düzeyde toksisiteye neden olması ve oksijenin dokulara salınımını engellemesi zehirlenme etkilerini ortaya çıkarır. Karboksihemoglobin (COHb) düzeyi ile klinik yansıma arasında literatürde net bilgi bulunmamaktadır. Ancak düzeyin artışı mortalite ve morbidite için riski arttırmaktadır. Bu yazıda acil servise geliş COHb düzeyi %65 olan bir olgunun takip süreci ile bu konuyu tekrar gözden geçirmeyi amaçladık.

Anahtar Kelimeler

• Karbonmonoksit, karboksihemoglobin düzeyi, zehirlenme

Carboxyhemoglobin 65% Does the Patient Survive? What About Sequelae?

Öz

Carbon monoxide is the reason for about half of fatal poisoning cases around the world. Carbon monoxide causes toxicity at the cellular level and the impedance in oxygen delivery to the tissues results in the effects of poisoning. There is no definitive information about a relationship between the level of carboxyhemoglobin (COHb) and clinical manifestations. However, an increase in the level of COHb increases the risk of mortality and morbidity. In this article, we will investigate the follow-up of a patient who presented to the emergency service with a 65% COHb level, in order to review the relationship between the level of carboxyhemoglobin (COHb) and clinical manifestations

Anahtar Kelimeler

• Carbon monoxide, carboxyhemoglobin level, poisoning

Kaynakça

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