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目的探讨急性CO中毒迟发性脑病的临床特点、发病机制、影响预后的相关因素及相关的治疗方法。方法对21例急性CO中毒迟发性脑病患者的临床资料进行回顾性的研究分析。结果患者均经过改善循环,促进脑细胞代谢,抗血小板集聚,营养神经治疗,高压氧及支持营养对症治疗,总有效率可达90.5%。结论急性CO中毒迟发性脑病预后与患者发病的年龄、昏迷时间、假愈期的长短、首次高压氧治疗的时间及疗程、营养支持护密切相关,提高对高危因素患者的识别并积极治疗,减少迟发性脑病发生的几率。
Objective To investigate the clinical features, pathogenesis, prognostic factors and related therapies of delayed encephalopathy after acute CO poisoning. Methods The clinical data of 21 patients with delayed encephalopathy caused by acute CO poisoning were studied retrospectively. Results All patients improved circulation, promoting brain cell metabolism, anti-platelet aggregation, nutritional nerve therapy, hyperbaric oxygen and supportive nutrition symptomatic treatment, the total effective rate up to 90.5%. Conclusion The prognosis of patients with acute CO poisoning delayed encephalopathy and the incidence of patients with age, coma time, leave the length of the first hyperbaric oxygen treatment time and course of treatment, nutritional support is closely related to improve the identification of patients with high risk and active treatment, Reduce the incidence of delayed encephalopathy.