Unintentional Acute Carbon Monoxide Poisoning During Pregnancy: Five Years of Experience in Bordeaux

J. Rajaonarison
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Abstract

Results: The incidence on 24 pregnant women of carbon monoxide poisoning upon the 248 cases reported at the centre was compiled making a rate of 9,67%. Eleven of them were fully monitored. Two patients out of the eleven were tobacco smokers. CO poisoning originated either from: fire (6/11), faulty heating appliances (4/11) or electric short circuit (1/11). Two of the seven patients presenting a COHb level in the blood had an amount of >10%. One patient had suffered with a right bundle block. Eight women out of the eleven were treated with oxygen therapy using face mask on their way to hospital. The centre systematically uses hyperbaric oxygen therapy, which dose and duration vary depending on the case and on the practitioner. Two foetus were affected with in utero growth restriction, and another one with a perinatal asphyxia. Two premature births were admitted to prenatal resuscitation. All along this investigation, no prenatal death were linked to carbon monoxide poisoning.
波尔多地区妊娠期意外急性一氧化碳中毒五年经验
结果:对中心报告的248例孕妇一氧化碳中毒病例中24例的发生率进行统计,发生率为9.67%。其中11个受到了全面监控。11个病人中有两个是吸烟者。CO中毒的原因包括:火灾(6/11)、发热器具故障(4/11)或电气短路(1/11)。七名患者中有两名血液中COHb水平为10%。一名患者患有右束阻滞。11名妇女中有8名在送往医院的途中使用面罩进行了氧气治疗。该中心系统地使用高压氧治疗,其剂量和持续时间因病例和医生而异。2例胎儿宫内生长受限,1例胎儿围产期窒息。2例早产儿接受产前复苏。在整个调查过程中没有产前死亡与一氧化碳中毒有关
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