急性一氧化碳中毒迟发性脑病38例

Analysis of 38 Cases of Delayed Encephalopathy in Acute Carbon Monoxide Poisoning

目的 探讨急性一氧化碳中毒迟发性脑病临床特点及防治对策。方法 对38例一氧化碳中毒迟发性脑病的临床资料进行回顾性分析。结果 高龄患者、中毒时间长及程度重者、未坚持全程高压氧及综合治疗患者、有感染、饮酒及用镇静剂者发病率高。结论 预防本病需采取积极综合治疗,防止并发症。

Objective To investigate the clinical characteristics and prophylactico-therapeutic measures of delayed encephalopathy in acute carbon monoxide poisoning. Methods Thirty-eight cases of delayed encephalopathy in acute carbon monoxide poisoning were retrospectively analysed.Results The high incidence of delayed encephalopathy was found in the patients who have the factors as follow : aged , long time and high degree of poisoning, not persisting in overall hyperbaric oxygen therapy and comprehensive theatment, infection , taking alcohol and sedative. Conclusion Active comprehensive theatment is very important in preventing delayed encephalopathy in acute earbon monoxide poisoning.