老年重度急性一氧化碳中毒并发症分析

目的：探讨老年重度急性一氧化碳中毒患者（ACOP）发生各类并发症的情况.方法：选择68例重度老年ACOP患者为观察对象,同期76例非老年性重度一氧化碳中毒患者为对照组,对住院期间所出现的并发症作统计.结果：老年患者重度ACOP并发症以脑、心累及为主,包括脑梗死、迟发性脑病、心肌损害,明显高于对照组,其次也出现消化道出血、肺水肿、横纹肌溶解症、肢体静脉血栓形成等.结论：老年急性ACOP患者病情危重,易合并多脏器损害,早期、长疗程高压氧（HBO）治疗是重要的.

Analysis of complications in old people with severe acute carbon monoxide poisoning

Objective: To study the occurrence of complications in old people with severe acute carbon monoxide poisoning(ACOP).Methods: 68 old people with severe ACOP were observed and 76 cases non-old people with severe ACOP with contrast.All the complications during their hospitalization were done a statistics.Results: The complications of old people with severe ACOP that occurred in brain and heart were higher than other organs,including cerebral infarction,delayed encephalopathy,cardiac damage.The second incidences were gastrointestinal hemorrhage,pulmonary edema,rhabdomyolysis,limb's phlebothrombosis and so on.Conclusion: The condition in old people with severe ACOP is imminence.It's easy to consolidate with multiple organs damage.It's important to be given early and long course hyperbaric oxygen therapy.