一氧化碳中毒迟发性脑病的临床分析

目的分析探讨一氧化碳中毒后迟发性脑病的发病特征与机制,总结临床诊治经验。方法收集我院2007年1月至2011年1月期间因急性一氧化碳中毒迟发性脑病住院的患者共76例,对其临床资料进行回顾性调查分析。结果患者有众多临床表现:精神淡漠、痴呆、小便失禁、缄默、偏瘫、癫痫发作等;76例患者治疗后经疗效判定,其中治愈24例,显效26例,好转12例,无效14例,总有效率为81.6%。结论 DEACMP发病机制尚不明了,临床表现众多,影像学检查有助于提高对患者的诊断,减少误诊率,给予患者及时、足疗程的治疗可最大限度的促进患者预后。

The clincal analysis of delayed encephalopathy of carbon monoxide poisoning

Objective To investigate the delayed encephalopathy after carbon monoxide poisoning characteristics and mechanisms of pathogenesis,clinical experience summarized.Methods From hospital in Jan 2007 ～ Jan 2011 during the period of delayed encephalopathy after acute carbon monoxide poisoning,a total of 76 cases of hospitalized patients,the clinical data were retrospectively analyzed.Results The patients had many clinical features：mental apathy,dementia,incontinence,silence,paralysis,seizures,etc 76 patients after treatment by the therapeutic efficacy,24 patients were cured,26 cases markedly improved and 12 cases improved,14 cases invatided.The total effective rate was 81.6%.Conclusion DEACMP pathogenesis remains unclear,many clinical manifestations,imaging examinations help improve the diagnosis of patients and reduce the misdiagnosis rate,patients in a timely manner,full course of treatment to maximize the promotion of patient prognosis.