S-Space College of Medicine/School of Medicine (의과대학/대학원) Dept. of Medicine (의학과) The Seoul Journal of Medicine The Seoul Journal of Medicine Vol. 22 No.1 (1981)
급성 일산화탄소 중독환자의 내원시 의식상태 및 치료양상에 관한 역학적 조사연구
A Study on the Consciousness Level and Therapeutic Effects on Acute Carbon Monoxide Poisonings -The Result of Survey on 4 General Hospitals in SeouI-
- 조수헌; 유근영; 윤덕로
- Issue Date
- 서울대학교 의과대학
- Seoul J Med, Vol.22 No.1, pp. 83-91
- Carbon monoxide poisoning has been regarded as
one of the most serious health problems in Korea. As .long as the anthracite coal briquette is in wide'
spread use as a domestic fuel for cooking and hea'
ting, this social malady by noxious CO gas will
continue as an invincible health hazard.
This study was designed to investigate the cpide'
rniologicaI characteristics of acute carbon monoxide
poisoning through the hospital data , especially laying
emphasis on some relevent factofs influencing the
consciousness level of CO paients. The authors
collected the clinico·epidemiological informations on
4,416 cases of carbon monoxide poisoning from
clinical records in the emergency rooms of 4 hospitals
located in Seoul during the period of Jan. 1, 1975
to Dec. 31, 1978.
The findings observed were summarized as follows:
1. Almost half of the cases could be occupied by the
age group of 15~29 years in both sex, and the highest
admission rate was observed in the age group of
20~24 years , while the lowest in under 9 years. The
sex ratio was 1. 4.
2. Monthly distribution showed that occurence of
CO poisonings was concentrated in Oct. to Mar. in
3. Consciousness level at arrival was worse as
the age got older and the worst in the age group of
70 and over, and was relatively better in female than
4. Taken as a whole, cases intoxicated in winter
had a tendency of having mild poisoning in consc'
5. Severity of consciousness level in CO poisoning
was directly proportional to arriving time at hospital,
that is, the later the arriving time , the greater the
6. Fatality rate at arrival was 4.2% in the whole,
and children under the age of 9 and older age groups
ranked the highest rate. The rate for male was
higher than that for female
7. 84.7% of the comatous CO poisoning cases was
treated with hyperbaric oxygen therapy, and its
recovery rate Was 96.9% as a whole. It was also
inversely proportionate to arriving time at hospital
Complications manifested were aspiration pneumonia ,
decubitus, neurologic disorders and psychological