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目的观察一氧化碳中毒后迟发性脑病的临床治疗情况。方法本院急诊科2009年11月~2012年11月共收治急性一氧化碳中毒迟发性脑病患者38例,对其临床资料进行回顾性分析。结果 38例DEACMP患者临床症状均有不同程度的改善,其中18例基本痊愈(47.4%),显效12例(31.6%),8例好转(21.1%)。结论一氧化碳中毒迟发性脑病患者有多种临床表现,影像学检查有助于临床诊断,一旦确诊,应立即给予对症治疗,早期、足疗程高压氧治疗能提高患者的生存质量,减轻社会和家庭的经济负担。
Objective To observe the clinical treatment of delayed encephalopathy after carbon monoxide poisoning. Methods A total of 38 patients with delayed encephalopathy after acute carbon monoxide poisoning were admitted to our emergency department from November 2009 to November 2012. The clinical data were retrospectively analyzed. Results The clinical symptoms of 38 patients with DEACMP were improved to some extent. Among them, 18 cases were basically cured (47.4%), 12 (31.6%) were markedly effective and 8 cases were improved (21.1%). Conclusions Patients with delayed encephalopathy due to carbon monoxide poisoning have many clinical manifestations. Imaging examination is helpful for clinical diagnosis. Once diagnosed, symptomatic treatment should be given immediately. Early and full course hyperbaric oxygen therapy can improve the quality of life of patients, reduce the social and family The economic burden.