一氧化碳中毒后迟发性脑病40例临床分析及CT所见

在256例急性一氧化碳中毒患者中,发现40例患者出院后7～11天发生迟发性脑病。在40例中有15例进行了头颅CT描述,结果14例有改变。经应用神经细胞活化剂、皮质激素和高压氧等治疗,结果治愈24例、好转10例、无效4例、死亡2例。认为:本病的发生可能与治疗不彻底、过早出院有关,对中度以上患者的连续治疗不能少于两周。CT扫描对诊断本病和判断预后均有指导意义。

CLINICAL ANALYSIS OF 40 CASES OF DELAYED ENCEPHALOPATHY AFTER CARBON MONOXIDE POISONING

Among 256 cases of acute carbon monoxide poisoning, 40 Patents were found to be delayed encephalopathy(DEP) in 7 to 11 days after being discharged from hospital. Brain CT scans were made in 15 of the 40 patients; of them, 14 Patients had pathologic changes. After using nerve cell activator, glucocorticoids, hyperbaric oxygenation, etc, 24 patients were cured, 10 took a change for the better, 4 were failure and 2 died. we recognize that there is a close relationship between the onset of DEP and imperf ect treatment or leaving hospital earlier, and CT ecaning may serve as a guidance for the evaluation of clinical diagnosis, therapeutic effect and prognosis of the DEP. Therefore, we propose that the period of successive treatment for moderate and severe DEP should bc not less than two weeks.