Ümraniye Eğitim ve Araştırma Hastanesi Çocuk Acil Servise Başvuran Karbonmonoksit Zehirlenmesi Olgularının Değerlendirilmesi

Authors : Mustafa Özgür Toklucu, Caner Araz, Mehmet Nizamoğlu, Emin Pala, Sevgi Akova, Burcu Karakayali, Şirin Güven

Pages : 123-128

View : 35 | Download : 9

Publication Date : 2016-09-01

Article Type : Research

Abstract :The epidemiological and clinical characteristics of the carbon monoxide poisoning cases n=167 ; aged between 8 months to15 years std deviation: 6,38±4,32 , who had applied to Ümraniye Research and Training Hospital Pediatric Emergency Unit, between the dates of 1st January 2010 - 01 July 2012; were evaluated retrospectively. Childhood poisoning cases constituted 0,07% of the total pediatric emergency visits. 87 of the cases 52,1% were female and 80 47,9% were male. According to age groups, respectively, 13 months-4 age group were 25,1% of all cases , the ages 8-11 were more frequent generating 24%. All the poisoning cases were accidental and occurred mostly in winter %46,7 n=78 . Carboxyhemoglobine levels measured at first visit, most frequently ranged between 0 and9,99 n=57, 34,1% , and 20 and 29,9 n=48, 28,7% . The average pH values measured during the application of blood gases were 7,36 ± 0.,52 . It was observed that most of the cases 45,51%, n=76 were asymptomatic initially. Nausea and vomiting 32,9%, n=55 , headache 16,1%, n=27 and dizziness 15,51%, n=27 were the most frequent symptoms and signs. Three cases were transferred to the critical care units, while six patients were referred for hyperbaric oxygen therapy. No mortality was reported during the treatment in our hospital. We hope our study will help determine strategies for preventive measures of carbon monoxide poisoning in Ümraniye and İstanbul
Keywords : carbon monoxide poisoning, childhood, epidemiology