URGENTNO ZBRINJAVANJE TROVANJA UGLJEN MONOKSIDOM KOD RADNIKA NAFTNE INDUSTRIJE

  • Sonja Peričević Medić Zavod za zdravstvenu zaštitu radnika Novi Sad, Novi Sad
  • Jovana Ljujić Služba hitne medicinske pomoći, Subotica, Srbija
  • Ivan Mikov Univerzitet u Novom Sadu, Medicinski fakultet, Novi Sad, Srbija
  • Milorad Španović Univerzitet u Novom Sadu, Medicinski fakultet, Novi Sad, Srbija
  • Slađana Sakač Klinički centar Vojvodine, Novi Sad, Srbija
Ključne reči: ugljen monoksid, trovanje, naftna industrija, radno mesto

Sažetak


Uvod: Ugljeni monoksid (CO) je gas koji nastaje nepotpunim sagorevanjem ugljenikovih jedinjenja i vodeći je uzrok trovanja u svetu. Cilj ovog rada je bio analiza slučaja akutnog trovanja CO kod pet radnika industrije nafte, u kolektivnom smeštaju sa prikazom dijagnostičkih, terapijskih i preventivnih mera.

Prikaz slučaja: Zbog zdravstvenih tegoba nastalih usled udisanja CO iz neispravnih gasnih instalacija, radnici su u toku noći zbrinuti od strane ekipe hitne medicinske pomoći i na odeljenju urgentne medicine. Uzeti su uzorci venske krvi za merenje karboksihemoglobina (COHb) i gasne analize na prijemu i nakon 120 minuta. Sprovedena je parenteralna i terapija kiseonikom preko maske poluotvorenog tipa. Nakon sprovedene terapije radnici su se potpuno oporavili.

Zaključak: Brzo prepoznavanje simptoma trovanja i započinjanje urgentne terapije su od ključnog značaja za povoljan ishod lečenja. Primena preventivnih mera u smislu edukacije radnika i sprovođenja zdravstveno bezbednosnih mera na radu i  radnom okruženju su značajni za sprečavanje trovanja CO.

Reference

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Objavljeno
2020/12/22
Rubrika
Prikaz bolesnika