摘要
目的研究一氧化碳中毒迟发性脑病(DEACMP)的病程及预后。方法对72例DEACMP患者的假愈期、临床表现、病程、预后及头部CT、MRI、脑电图(EEG)进行分析。结果(1)本组病例中30d内病情开始好转者59.7%,31～60d病情开始好转者22.2%,>60d病情开始好转者16.7%,总临床治愈率47.2%,有效率97.2%;(2)假愈期≤14d与≥15d的2组比较,前者病程显著长于后者,而后者的治愈率高于前者;(3)无明显假愈期患者病程长,预后差。结论DEACMP的临床病程具有显著的自限性和可恢复性。
Objective To investigate the disease course and the prognosis of delayed encephalopathy after acute carbon monoxide poisoning（DEACMP）. Methods Analyzed the latent phase, clinical manifestation disease course, prognosis, CT, MRI and EEG features of 72 DEACMP cases. Results （1） 59. 7 % patients improved in 30 days. 22. 2% in the second 30 days, and 16. 7% impoved after 60 days, the total cure rate is 47. 2% ,effective rate is 97. 2%. （2） Compare with those latent phase exceed 15 days. The patients whose latent phase shorter had a longer course of disease and a lower cure rate. The patients without obvious alatent phase had a longer course of disease and a worse prognosis. Conclusions The disease course of DEACMP appears obvious self limitation and recoverability.
出处
《卒中与神经疾病》
2007年第4期220-222,共3页
Stroke and Nervous Diseases
关键词
一氧化碳中毒
迟发性脑病
病程
预后
Carbon Monoxide Poisoning Delayed Encephalopathy The course of disease prognosis
