ピックアップトラックの後部で乗っている子供における一酸化炭素中毒
1Department of Medicine, Virginia Mason Clinic, Seattle, WA 98111.
JAMA
|January 22, 1992
まとめ
ピックアップトラックのベッドに乗っている子供は,排気ガス漏れのために一酸化炭素中毒のリスクが高い. この危険な慣習は,特に天幕の下では,意識喪失やまれに死亡などの深刻な結果につながる可能性があります.
科学分野:
- 小児の毒理学について
- 環境衛生 環境衛生 環境衛生
- 緊急医療 緊急医療
背景:
- 炭素一酸化物 (CO) の中毒は,特に閉じられた空間では深刻なリスクです.
- ピックアップトラックの後ろ座席での移動は,子供にとってユニークな環境的危険性をもたらします.
- この活動に関連する特定のリスクを理解することは,予防に不可欠です.
研究 の 目的:
- ピックアップトラックベッドでの移動中に持続した一酸化炭素中毒の小児症例の特徴づけ.
- これらの中毒事件の状況と要因を特定する.
- 罹患した子供における臨床結果と後遺症を評価する.
主な方法:
- 1986年から1991年の間にCO中毒のために高圧酸素で治療された小児患者の遡及的レビュー.
- ピックアップトラックの後ろ座席で移動するケースの選択.
- 結果を評価するために,電話インタビューによる臨床フォローアップ.
主要な成果:
- 20例のCO中毒の小児症例は,ピックアップトラックで移動中に発生し,17例は,硬い天井の下にあった.
- 平均カルボキシヘモグロビン濃度は18.2%で,20人の子供のうち15人が意識喪失を経験した.
- 脳腫による1人の死亡と永久的な神経学的欠陥の1人の症例が報告され,18人の子供には後遺症はなかった.
結論:
- ピックアップトラックの後ろ座席で乗ることは,子供にとって一酸化炭素中毒の重大なリスクをもたらします.
- 排気システムの漏れや後部から出る排気管は,一般的な要因です.
- 小児のCO中毒を予防するために,この慣行を避けるのが強く推奨されます.
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