一氧化碳中毒迟发性脑病28例临床分析

Clinical analysis for 28 patients with carbon monoxide poisoning follow-up neuropsychic symptom

目的:探讨一氧化碳中毒迟发性脑病的临床特点。方法:对已经确诊的28例一氧化碳中毒迟发性脑病的临床资料进行回顾性研究。结果:28例患者均有精神行为异常,20例不能完成平时熟悉的日常活动,4例表情呆滞,行动迟缓,3例步态不稳,2例大小便不能自理。结论:一氧化碳中毒迟发性脑病临床表现复杂多样,提高对本病的认识是防止漏诊误诊的关键,高压氧治疗有效。

Objective：To explore the clinical manifestations about the patients with carbon monoxide poisoning follow-up neuropsychic symptom. Methods： The clinical data of 28 patients with carbon monoxide poisoning follow-up neuropsychic symptom were analyzed retrospectively. Results：Twenty-eight patients appeared mental and behavior disorders, 20 patients appeared not being able to complete everyday activities,4 patients appeared not having active appearance, 3 patients appeared not being able to walk steadily, 2 patients appeared not being able to discharge feces and urine by himself. Conclusion：The clinical manifestations of carbon monoxide poisoning follow-up neuropsychic symptom are diverse ,The key of preventing misdiagnosis are to enhance the recognition for the disease ,Hyperbaric oxygen therapy is effective measure.