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目的探讨无创碳氧血红蛋白检测仪在一氧化碳中毒患者中的应用价值。方法收集2015年1月至2016年12月本院急诊科救治的急性一氧化碳中毒患者80例,其中使用Rad-57碳氧血红蛋白检测仪前40例(对照组),使用检测仪后40例(观察组),给予相应的急救护理,比较两组一氧化碳中毒的急诊处置时间、急诊科停留时间、患者满意度等。结果在诊断一氧化碳中毒患者时使用无创碳氧血红蛋白检测仪可明显缩短确诊时间、在急诊科停留时间缩短、患者满意度明显提高。结论无创碳氧血红蛋白检测仪可即时测量血红蛋白浓度,协助临床医生更快地做出诊断,更早地开始治疗和提高效率,减少并发症,降低死亡率,值得临床推广应用。
Objective To investigate the value of noninvasive carboxyhemoglobin detector in patients with carbon monoxide poisoning. Methods Eighty patients with acute carbon monoxide poisoning who were treated in our emergency department from January 2015 to December 2016 were collected. Among them, the first 40 cases were treated with Rad-57 carboxyhemoglobin (control group), the other 40 cases were treated with the detector (observation Group), given the corresponding emergency care, emergency treatment time of two sets of carbon monoxide poisoning, emergency department stay, patient satisfaction and so on. Results In the diagnosis of carbon monoxide poisoning in patients with noninvasive carboxyhemoglobin detector can significantly reduce the time of diagnosis, shorter stay in the emergency department, patient satisfaction was significantly improved. Conclusion Noninvasive carboxyhemoglobin detector can measure hemoglobin concentration in real time, assist clinicians to diagnose more quickly, start treatment earlier and improve efficiency, reduce complications and reduce mortality, which is worthy of clinical application.