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目的研究一氧化碳中毒后迟发性脑病的病因、影响因素、临床表现和预防、治疗方法。方法回顾分析自1999年以来西安航天总医院内三科收治的35例患者的临床资料。结果一氧化碳中毒后迟发性脑病临床表现主要以精神障碍、智能改变、椎体外系症状为主,经高压氧、改善微循环、营养神经等治疗,大部分好转或痊愈,有效率为74.3%。结论及早识别一氧化碳中毒后迟发性脑病,及早、足疗程应用高压氧是治疗关键。
Objective To study the etiology, influencing factors, clinical manifestation, prevention and treatment of delayed encephalopathy after carbon monoxide poisoning. Methods The clinical data of 35 patients admitted to the three branches of Xi’an Aerospace General Hospital since 1999 were retrospectively analyzed. Results The clinical manifestations of delayed encephalopathy after carbon monoxide poisoning were mainly mental disorders, intelligent changes, extracorporeal system symptoms, hyperbaric oxygen, microcirculation, nutritional nerves and other treatment, most of the improvement or recovery, the effective rate was 74.3% . Conclusion Early identification of delayed encephalopathy after carbon monoxide poisoning and early or full course of hyperbaric oxygen therapy is the key to treatment.