急性一氧化碳中毒156例临床分析

目的：分析急性一氧化碳中毒患者的发病特征,探讨急性一氧化碳中毒的防治策略。方法：对156例急性一氧化碳中毒病例进行回顾性分析。结果：156例急性一氧化碳中毒患者中,女性多于男性,男女之比为1∶1.64;平均年龄21.75岁,高发年龄段是18-27岁,占78.84%;燃气热水器使用不当是急性一氧化碳中毒的主要原因占91.67%;中毒事件的高发季节为冬春季节占94.23%;临床表现主要为头晕、头痛、意识障碍等神经系统症状;以高压氧为主的综合治疗措施可取得满意疗效,总有效率达94.23%,治愈率为87.82%,中毒6h内高压氧治疗（A组）与中毒6h后高压氧治疗（B组）相比可提高治愈率（P〈0.05）。结论：深圳地区急性一氧化碳中毒的发病具有明显的性别、年龄、中毒源、季节特征,需引起重视,广泛开展针对性宣传教育和采取有效防范措施是遏制急性一氧化碳中毒的重要手段,一旦中毒应尽早行高压氧为主的综合性治疗。

Clinical analysis of 156 cases with acute carbon monoxide poisoning

Objective：To analyse the illness features of acute monoxide poisoning , and to discuss the preventing strategy. Methods： 156 patients with acute monoxide poisoning, who were admitted into our hospital during June, 2003 to June, 2008, were selected. Their clinical data were retrospectively analyzed. Results： Females were more than males among 156 patients with acute monoxide poisoning. The ratio of males to females was 1： 1.64. The average age was 21.75. The age braeket from 18 years old to 27 years old has high incidence, which was 78.84%. The main reason of acute monoxide poisoning due to unsuitable using of gas hot - water heater, which possessed 91.67%. The poisoning event mainly occurred in winter and spring, and the incidence was 94. 23%. The major symptoms were dizzy, headache, consciousness, and so on. The comprehensive treatment measures mainly comprising of hyperbaric oxygen could acquire satisfaetou, effects. The overall effective rate was 94.23%, and the overall cure rate was 87.82%. The cure rate of undergoing hyperbaric oxygen treatment within 6 hours of poisoning （group A） was higher than that undergoing hyperbaric oxygen treatment after 6 hours of poisoning （ group B ） （ P 〈 0.05 ）. Condusion： The acute carbon monoxide poisoning in Shenzhen region had significant features of gender, age, poisoning source, and season. Publicizing and education concerning the knowledge of acute monoxide poisoning and taking effective measures to prevent poisoning were significant. In case of monoxide poisoning, the comprehensive treatment measures mainly comprising of hyperbaric oxygen treatment was a better selection.