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一氧化碳中毒迟发脑病危险因素的探讨 被引量:5

Discussion of risk factors on delayed encephalopathy after carbon monoxide poisoning
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摘要 目的探讨一氧化碳中毒迟发脑病的危险因素。方法回顾性分析132例急性一氧化碳中毒患者,并分为迟发性脑病组及非迟发性脑病组,分别从性别、脑血管病危险因素、昏迷时间及高压氧治疗次数等方面进行分析。结果年龄≥45岁、有脑血管病危险因素、昏迷时间≥24小时及急性期高压氧治疗不足等为一氧化碳中毒迟发脑病的危险因素。结论对于中老年患者、有脑血管病危险因素及昏迷时间长的急性一氧化碳中毒患者,早期予以高压氧为主的综合治疗能有效预防迟发脑病的发生。 Objective To discuss the risk factors on delayed encephalopathy after carbon monoxide poisoning. Methods It was a retrospective analysis of 132 cases of acute carbon monoxide poisoning patients, who were divided into delayed encephalopathy group and non delayed eneephalopathy group, and were analyzed from sex, risk factors for eerebrovascular disease, coma time and times of hyperbaric oxygen therapy. Results The risk factors of delayed encephalopathy included the age more than 45 years old, risk factors of cerebrovascular disease, coma time ≥ 24 hours and insufficient hyperbaric oxygen treatment during the acute phase. Conclusion Sufficient hyperbaric oxygen comprehensive treatment in the early period for the acute carbon monoxide poisoning patients with risk factors of delayed encephalopathy is effective in the pre- vention.
作者 陈书阁
出处 《中国现代医生》 2012年第32期156-157,共2页 China Modern Doctor
关键词 一氧化碳中毒迟发脑病 危险因素 高压氧治疗 Carbon monoxide poisoning delayed encephalopathy Risk factors Hyperbaric oxygen treatment
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