急性一氧化碳中毒继发脑梗死20例临床分析

目的探讨急性一氧化碳中毒继发脑梗死诊治的最佳方法。方法回顾总结我院2007年12月—2009年12月收治的20例急性一氧化碳中毒继发脑梗死的患者,入院后给予吸氧、高压氧治疗,同时按缺血性脑血管病给予减轻脑水肿、保护脑细胞、抗凝、抗自由基以及营养神经等综合治疗,防治脑水肿,防止并发症和后遗症的发生。结果治愈12例,6例留有不同程度的后遗症,死亡2例。结论入院后及时进行针对脑水肿的脱水治疗以及高压氧疗至关重要,脑CT、MRI动态观察,是早期发现急性一氧化碳中毒患者并发脑梗死的关键。

Clinical analysis of 20 cases of acute carbon monoxide poisoning with secondary cerebral infarction

Objective To explore the best way to diagnosis and treatment of acute carbon monoxide poisoning with secondary cerebral infarction.Methods 20 cases of acute carbon monoxide poisoning with secondary cerebral infarction from December 2007 to December 2009 were analyzed retrospectively.After admission,all patients were given hyperbaric oxygen therapy.At the same time those were given comprehensive treatment of reducing brain edema,protecting brain cells,anticoagulant and anti-free radicals according to ischemic cerebrovascular disease.Those were also given neurotrophic comprehensive treatment for preventing brain edema,complications and sequelae.Results In all patients,12 patients recovered.6 patients had different sequelae and 2 patients died.Conclusion It is essential to patients were given timely dehydration treatment of reducing brain edema and hyperbaric oxygen therapy.Dynamic observation of brain CT or MRI is the key to find patients of acute carbon monoxide poisoning complicated with cerebral infarction.