一氧化碳中毒迟发性脑病38例临床分析

Clinical analysis of 38 cases with delayed encephalopathy after carbon monoxide poisoning

目的:评价相关因素对一氧化碳中毒迟发性脑病发病的影响。方法:对接受高压氧治疗的168例CO中毒的住院和门诊病人进行统计分析。结果:164例CO中毒病人中,发生CO中毒迟发性脑病38例,死亡1例,放弃治疗3例,治愈34例。结论:CO中毒迟发性脑病的发生与年龄、中毒时间、中毒程度、苏醒时间、救治早迟、高压氧疗程长短等因素有关。

Objective： To evaluate the effects imposed by several relative factors on delayed encephalopathy after carbon monoxide poisoning. Methods： Statistic analysis was performed on 168 inpatients and outpatients with carbon monoxide poisoning who received hyperbaric oxygen therapy. Results： In 168 cases of carbon monoxide poisoning： 38 cases had delayed encephalopathy after carbon monoxide poisoning, 3 cases abandoned treatment and 34 cases were cured. Conclusion： The occurrence of delayed encephalopathy after carbon monoxide poisoning is relevant to such factors as follows： ages, the length of poisoning time, the extent to which one is poisoned, the time when one regains consciousness, the earliness of first-aid treatment and the length of hyperbaric oxygen therapy.