高压氧治疗急性一氧化碳中毒性肺水肿72例分析

Hyperbaric Oxygen in Treatment of 72 Cases of Pulmonary Edema Following Acute Carbon Monoxide Toxicity

目的探讨高压氧对一氧化碳中毒性肺水肿的治疗作用。方法采用高压氧配合临床用药治疗一氧化碳中毒性肺水肿72例,并和单纯临床用药治疗一氧化碳中毒性肺水肿进行疗效对比。结果高压氧综合治疗组对一氧化碳中毒性肺水肿的临床治愈率(84.7%)明显高于对照组(55.9%),差异有统计学意义(P<0.01);高压氧综合治疗组病程为(42.2±5.6)d,对照组为(58.4±7.2)d,高压氧综合治疗组病程明显缩短(P<0.01)。结论高压氧对一氧化碳中毒性肺水肿患者有着确切的疗效,能有效提高临床治疗效果和缩短病程。

[Objective] To study the effects of hyperbaric oxygen on pulmonary edema following acute carbon monoxide toxicity.[Methods]72 cases of pulmonary edema following acute carbon monoxide toxicity were treated by hyperbaric oxygen combined with clinical drug,and the curative effect was compared with the effect of single drug group.[Results]The clinical cure rate of the hyperbaric oxygen combined therapy group （84.7%） for pulmonary edema following acute carbon monoxide toxicity was higher than that of the control group （55.9%） significantly （P〈0.01）. The duration of the hyperbaric oxygen combined therapy group and the control group was （42.2±5.6）d and 5 （58.4±7.2）d respectively,and the duration of the hyperbaric oxygen combined therapy group shortened significantly （P〈0.01）.[Conclusion]Hyperbaric oxygen has a definite effect on pulmonary edema following acute carbon monoxide toxicity,and it can improve the curative effect and shorten the duration.