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일산화탄소 중독에 대한 고압산소 요법의 효과에 관한 연구

The Study on The Effect of Hyperbaric Oxygenation for Carbon Monoxide Poisoning

항공의학 1969년 17권 1호 p.23 ~ 34
박항배,
소속 상세정보
박항배 (  ) - 서울대학교 의과대학 예방의학교실

Abstract


Because of the age-old and peculiar heating system(Ondol) of houses and of the coal briquette being widely used as fuel in houses, restaurants and shops, the incidence of carbon monoxide poisoning is rapidly increasing in Korea each year (in 1968, in Seoul, 1,565 poisoned and 363 died). A nation-wide effort to eliminate or reduce this serious hazard has produced little effect and even the emergency care offered at most hospitals consists mainly of oxygen inhalation through conventional nasal catheter
which is not efficient enough to provide victims satisfactory protection from death or serious sequelae.
The authors constructed a one man type hyperbaric chamber and applied it on one hundred and seven cases of carbon monoxide poisoning during the period between January and September 1969.
The hyperbaric chamber used is the first one built in Korea for the purpose of clinical application. Each treatment was carried out with one hundred per cent oxygen for the first thirty minutes at 3 ata, the next thirty minutes at 2 ata and if necessary, simple oxygen supply at 1 ata was given for a while before opening the door. The authors concluded the following:
1. The age group between 15 and 30 represented 52.3%, of the total patients and the morbidity rate was nearly 2 times that of other groups.
2. The recovery time for patients who arrived at the hospital earlier was strikingly shortened compared with that for delayed cases.
3. The majority of the patients recovered consciousness by a single treatment and 96 per cent returned home within 12 hours.
4. 99 out of 107 cases recovered completely (92%), 6 improved (6%) and 2 expired. No significant complications such as oxygen poisoning were experienced during the procedure.
5. Some clinical pictures which might be an aid to the differential diagnosis in conjunction with anamnesis were described.
6. The author confirmed the significant benefit of hyperbaric oxygenation in the management of carbon monoxide poisoning.

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