粤东地区住院患者一氧化碳急性中毒原因分析及治疗护理对策

The Analysis,Treatment and Nursing Countermeasures of Hospitalized Patients with Acute Carbon Monoxide Poisoning Cause of the Eastern Guangdong Province

目的探讨粤东地区住院患者急性一氧化碳(CO)急性中毒的原因,并针对不同中毒程度采用不同的处理措施。方法对本院急性CO中毒住院治疗的患者319例进行回顾性分析。结果本地区CO中毒人群大部分为年龄≤19岁及年龄≥60岁患者;急性中毒原因主要是煤气管道泄漏、热水器使用不当等;中毒程度以轻、中度为主;辅助检查血COHb均为阳性,多伴有外周血象白细胞及中性粒细胞计数增高。结论青少年和老年人是粤东地区CO中毒的主要人群,及时救治是预防CO中毒后遗症的关键。

Objective To investigate the cause of acute carbon monoxide （CO）poisoning of east guangdong hospitalized patients and the different treatments were adopted according to the degree of poisoning.Method 31 9 cases of patients hospitalized in our hospital with acute CO poisoning were retrospectively analyzed.Results The main groups of CO poisoning were the patients less than 1 9 years or more than 60 years old.The main causes of acute poisoning were the gas pipeline leakage or water heater misuse,etc.The patients were mainly mild or mid-dle intoxication.The carbon oxygen hemoglobin （COHb）of all the hospitalized patients were positive accompanied by peripheral blood leuko-cyte and neutrophil count increased mostly.Conclusion Young people and old people were the main groups of east guangdong CO poisoning. Timely treatment is the key to prevent the sequelae of CO poisoning.