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一氧化碳中毒后的急性脑损伤和迟发型脑病严重影响患者的预后及生存质量。高压氧作为临床治疗一氧化碳中毒性脑损伤的主要方法争议颇多,而一氧化碳中毒性脑损伤的发病机制目前也尚未明确。核因子红细胞2相关因子2(Nrf-2)的激活可能对一氧化碳中毒引发的炎症、凋亡等发挥较好的治疗作用。因此,研究Nrf-2在一氧化碳中毒性脑损伤发病机制中的作用可为一氧化碳中毒后急性脑损伤和迟发型脑病的靶向治疗提供新思路。“,”Acute brain damage and delayed encephalopathy are two main clinical manifestations of brain damage after carbon monoxide(CO) exposure,and seriously affect the life quality and prognosis of patients with CO poisoning.Hyperbaric oxygen is considered as the main therapy for brain damage after acute CO poi-soning.However,there are many controversies on its clinical application .The pathogenesis of brain damage after acute CO poisoning is poorly elucidated.The activation of nuclear factor erythrocyte two related factors-2 ( Nrf-2) may benefit the therapy for inflammatory and apoptosis mechanism triggered by CO poisoning .Thus, research on the role of Nrf-2 gene in the pathogenesis of brain damage following acute CO poisoning can pro-vide new ideas for the targeted therapy for the acute brain damage and delayed encephalopathy following CO poisoning.