PDF(Pubmed)
Abstract：
A 59-year-old male was found unconscious in a car filled with smoke. On arrival, he was in a semi-comatose state with hemorrhagic shock due to deep lacerations on his wrist. His carboxyhemoglobin level was 16.6%. Electrocardiography showed ST segment elevation at the precordial leads with troponin T positivity. Magnetic resonance imaging showed spotty ischemic lesions in his brain. He was treated with 100% oxygen by mechanical ventilation; however, he also developed acute respiratory distress syndrome due to an inhalation injury. His condition was complicated by bloody stools, which were judged to have been caused by ischemic colitis based on computed tomography and were managed by observation. After regaining consciousness and the improvement of the heart, lung, and bowel conditions, the patient was transported to a psychiatric hospital due to concerns regarding self-harm. Due to the small number of reported cases, the accumulation of similar cases of ischemic colitis after carbon monoxide (CO) poisoning is needed to clarify the characteristics of ischemic colitis after carbon monoxide poisoning.
摘要：
一名59岁的男性在一辆充满烟雾的汽车中被发现昏迷不醒。抵达后,由于手腕深度撕裂，他处于半昏迷状态，失血性休克。他的碳氧血红蛋白水平为16.6%。心电图显示心前导联ST段抬高，肌钙蛋白T阳性。磁共振成像显示他的大脑有斑点缺血性病变。他接受了100%氧气的机械通气治疗；然而，他还因吸入性损伤而患上了急性呼吸窘迫综合征。他的病情因血便而变得复杂，根据计算机断层扫描判断为由缺血性结肠炎引起，并通过观察进行治疗。在恢复意识和心脏的改善之后，肺，和肠道条件，由于担心自我伤害，患者被送往精神病医院。由于报告病例数量少,一氧化碳(CO)中毒后缺血性结肠炎类似病例的积累需要阐明一氧化碳中毒后缺血性结肠炎的特点.
