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急性一氧化碳中毒致迟发性脑病54例临床分析
引用本文:陈治军,徐忠诚. 急性一氧化碳中毒致迟发性脑病54例临床分析[J]. 中国当代医药, 2013, 0(1): 191+193-191,193
作者姓名:陈治军  徐忠诚
作者单位:湖北省荆门市第一人民医院急诊科
摘    要:目的探讨急性一氧化碳中毒后迟发性脑病(DEACMP)的临床诊治特点。方法回顾性分析54例DEACMP患者的临床资料。结果本组痊愈29例,显效16例,有效7例,无效2例,总有效率为96.30%。其中,1例因肺部感染并发多脏器衰竭而死亡。结论 DEACMP主要表现为意识障碍及锥体外系功能障碍,一旦发生,及早采用高压氧治疗能显著改善其预后。

关 键 词:一氧化碳中毒  迟发性脑病  临床特点  高压氧

Clinical analysis of 54 cases with delayed encephalopathy after acute carbon monoxide poisoning
CHEN Zhijun,XU Zhongcheng. Clinical analysis of 54 cases with delayed encephalopathy after acute carbon monoxide poisoning[J]. http://www.botanicus.org/, 2013, 0(1): 191+193-191,193
Authors:CHEN Zhijun  XU Zhongcheng
Affiliation:Emergency Department, First People’s Hospital of Jingmen City in Hubei Province, Jingmen 448000, China
Abstract:Objective To study the clinical features of delayed encephalopathy after acute carbon monoxide poisoning (DEACMP). Methods The clinical data of 54 cases with DEACMP were analyzed retrospectively. Results Twenty nine cases were cured, 16 cases were significant effective, 7 cases were effective, 2 cases were invalid, the total efficiency was 96.30%. One patient had died by lung infection and multiple organ failure. Conclusion The main symptoms of DEACMP are disturbance of consciousness and dysfunction of extrapyramidal, once the DEACMP occurs, it should take the treatment of hyperbaric oxygen therapy so that can improve the prognosis significantly.
Keywords:Carbon monoxide poisoning  Delayed encephalopathy  Clinical feature  Hyperbaric oxygen
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