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首页> 外文期刊>Journal de gyne?cologie, obste?trique et biologie de la reproduction. >Ten practical issues concerning acute poisoning with carbon monoxide in pregnant women [Dix questions pratiques concernant l'intoxication aigu? au monoxyde de carbone chez la femme enceinte]
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Ten practical issues concerning acute poisoning with carbon monoxide in pregnant women [Dix questions pratiques concernant l'intoxication aigu? au monoxyde de carbone chez la femme enceinte]

机译：孕妇一氧化碳急性中毒的十个实际问题[关于急性中毒的十个实际问题？孕妇服用一氧化碳]

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Background The poisoning of carbon monoxide (CO) is the leading cause of death by poisoning in France. Its consequences are potentially serious to the fetus. Literature is ancient and little known. Purpose and method Make an inventory of knowledge about carbon monoxide poisoning during pregnancy. Result The CO causes maternal then fetal tissue hypoxia primarily by binding to hemoglobin with which it has a high affinity. Its transplacental passage may cause fetal harm, predominantly in the brain. Severity seems correlated with maternal symptoms during exposure. In the absence of maternal symptoms, however, the available data are reassuring. Hyperbaric oxygen therapy may reduce the risk to the fetus. Discussion Oxygen therapy should be offered in all cases of CO poisoning, especially if there are maternal symptoms during exposure. In addition, a fetal echography directed on the cephalic pole - even a fetal magnetic resonance imaging three weeks after exposure - should also be proposed.
机译：背景技术一氧化碳（CO）中毒是法国中毒死亡的主要原因。它的后果对胎儿可能很严重。文学是古老的，鲜为人知。目的和方法盘点一下怀孕期间一氧化碳中毒的知识。结果CO主要通过与具有高亲和力的血红蛋白结合而引起母体然后胎儿组织缺氧。其胎盘通过可能导致胎儿伤害，主要在大脑中。严重程度似乎与暴露期间的孕产妇症状有关。但是，在没有孕产妇症状的情况下，现有数据令人放心。高压氧疗法可以减少胎儿的风险。讨论在所有CO中毒病例中均应提供氧气治疗，尤其是在暴露期间出现孕产妇症状时。此外，还应建议针对头极的胎儿超声检查，甚至在暴露三周后进行胎儿磁共振成像。

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