ABSTRACT
Presentamos un estudio observacional sobre la relación entre niveles elevados de carboxihemoglobina (COHB) e intoxicación subclínica por monóxido de carbono (CO) en nuestra área sanitaria, realizado en febrero y marzo de 2000, en 228 pacientes de ambos sexos, mayores de 18 años, que acudieron a Urgencias por diversos motivos. Previo consentimiento informado, obtuvimos una muestra de sangre venosa para determinar COHB y recogimos datos antropométricos, consumo de tabaco y tipo de calefacción domiciliaria. Los valores límite de COHB obtenidos fueron: en no fumadores, 1,9 por ciento; en fumadores de 1-10 cigarrillos/día, 5,1 por ciento; de 11-20, 6,9 por ciento y de > 20, 9,6 por ciento. El 25 por ciento de los pacientes presentaban una COHB elevada independientemente del hábito tabáquico, siendo el brasero de cisco la fuente de exposición más frecuente a CO (AU)
Subject(s)
Middle Aged , Adolescent , Adult , Aged , Male , Female , Humans , Tobacco Use Disorder , Spain , Carbon Monoxide Poisoning , Carboxyhemoglobin , Cross-Sectional Studies , HeatingABSTRACT
We present an observation study on the relatioship between high levels of carboxyhemoglobin (COHB) and subclinical poisoning by carbon monoxide (CO) in our health area. The study was carried out in February and March 2000 in 228 over 18-year-old patients of both sexes who went to the Emergency Room for various reasons. After an informed consent was conceded, a venous blood sample was obtained in order to determine the level of COHB; later, we collected the anthropometric data, the data relative to the tobacco use, and the data of the type of heating at home. The values limit of the COHB obtained were the following: in non smokers, 1.9%; in 1-10 cigarettes/day smokers, 5.2%; in 11-20 cigarettes/day smokers, 6.9%; in >20 cigarettes/day smokers, 9.6%. A COHB high level was observed in 25% of the patients regardless of the smoking habits, being the coal-dust slack brazier the source of most frequent exposure to CO.
Subject(s)
Carbon Monoxide Poisoning/epidemiology , Carboxyhemoglobin/analysis , Smoking , Adolescent , Adult , Aged , Carbon Monoxide Poisoning/blood , Cross-Sectional Studies , Female , Heating/adverse effects , Humans , Male , Middle Aged , Spain/epidemiologyABSTRACT
No disponible
Subject(s)
Aged , Male , Female , Humans , Hospitalization , Spain , Pulmonary Medicine , Health Facility PlanningABSTRACT
Localized nodular pulmonary amyloidosis is a very rare condition. We report the case of a man with an upper left lobe mass measuring 8 cm and a nodule measuring 3 cm at the same site. Both were detected by chance in radiologic images. Neoplasia was suspected and diagnosis was made by thoracotomy and lung biopsy. After two years of follow-up, the patient remains asymptomatic and the radiologic images are stable, with no clinical or analytical evidence of systemic amyloidosis or dysproteinemia.
