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ZASTRUPITEV Z OGLJIKOVIM MONOKSIDOM CARBON MONOXIDE POISONING
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(1) Osnovno zdravstvo Gorenjske, Zdravstveni dom Jesenice, Jesenice, Slovenija (2) Zdravstveni dom Novo mesto, Novo mesto, Slovenija
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ABSTRACT
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DYDLODEOHWKURXJKWKH3RLVRQV&HQWUH8QLYHUVLW\&OLQLFDO&HQWUH/MXEOMDQDZKLFKKDVRQFDOOWR[LFRORJLVWV and engineers. Public education on the dangers of CO poisoning and measures for its prevention is important.
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PATOFIZIOLOGIJA
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9HåH VH QD HQFLPH GLKDOQH YHULJH FLWRNURP RNVLGD]RLQ3YWNLYLKLQVWHPQHSRVUHGQR vpliva na tkivno hipoksijo.
9HåH VH QD PLRJORELQ VNHOHWQLK PLãLF LQ PLR- NDUGDNDUSRY]URþLPLãLþQRRVODEHORVWPRWQMH koordinacije in ishemijo miokarda.
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3ULNOLQLþQHPSUHJOHGXVRSULVRWQL]QDNLNRWVRWDKL- NDUGLMDWDKLSQHMDLQKLSHUWHUPLMD.RåDMHSULEODåML ]DVWUXSLWYLEOHGDDOLFLDQRWLþQDODKNRPDUPRULUDQD WLSLþQRþHãQMHYRUGHþHREDUYDQMHNRåHSDVHSRMDYL SUL ]HOR KXGLK ]DVWUXSLWYDK LQ VH RELþDMQR SRNDåH ãHOH SR VPUWL 0RWQMH ]DYHVWL VR ODKNR UD]OLþ- QLK VWRSHQM ]PHGHQRVW OHWDUJLMD VWXSRU NRPD 9 QHYURORãNHP VWDWXVX ODKNR XJRWDYOMDPR PRWQMH NRRUGLQDFLMHDSUDNVLMRDJQR]LMRWLNHPRWQMHYLGD LQVOXKDPRWQMHVSRPLQDDQWHURJUDGQDLQUHWURJUD- GQDDPQH]LMDþXVWYHQRQHVWDELOQRVWLQNRJQLWLYQH PRWQMH = RIWDOPRORãNLP SUHJOHGRP XJRWDYOMDPR PUHåQLþQHNUYDYLWYHYREOLNLSODPHQDVYHWORUGHþH PUHåQLþQHYHQHSDSLORHGHPLQKRPRQLPQRKHPL- DQRSVLMR6YHWORUGHþHREDUYDQMHPUHåQLþQLKYHQMH ]HORREþXWOMLY]JRGQML]QDN6SUHPHPEHQDPUH- åQLFL LQ UGHþH REDUYDQMH NRåH VWD HGLQD VSHFL¿þQD znaka zastrupitve s CO.
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SDWRORãNLK VSUHPHPE 3ULVRWQRVW SHULKLODUQLK VHQF SHULEURQKLDOQLK LQ SHULYDVNXODUQLK LQ¿OWUDWRY ter intraalevolnega edema pomenijo slabo napoved L]LGDEROH]QL9SULPHUXKXGLKQHYURORãNLKPR- WHQMPRUDPR]DL]NOMXþLWHYGUXJLKY]URNRYRSUDYLWL WXGL XVWUH]QR VOLNRYQR GLDJQRVWLFLUDQMH &7 05 JODYH1DMSRJRVWHMHXJRWDYOMDPRVRKLSRGHQ]QH VSUHPHPEHYSRGURþMXglobus pallidus in bazalnih JDQJOLMLKWHUGLIX]QLPRåJDQVNLHGHP2SLVXMHMRVR WXGLSULPHUHKLGURFHIDOXVD
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