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高压氧治疗小儿急性一氧化碳(简称CO)中毒,疗效较常规治疗显著,可降低病死率,减少精神或神经方面的后遗症。我科自1987～1991年采用高压氧治疗小儿急性CO中毒22例,报告如下:1 临床资料1.1 一般资料:22例中,男13例,女9例。年龄自2个月～13岁,均为室内煤炉取暖所致。从发现至就诊时间最短4小时,最长24小时。同室居住有CO中毒者16例。1.2 临床症征:就诊时意识朦胧3例,浅昏迷11例,深昏迷5例,自述头痛头晕6例,呕吐13例;大小便失禁10例;抽搐11例,四肢肌张力增高8例;巴氏征阳性9例;合并肺部感染7例;心肌损害9例(奔马律、心电图示ST-T改变等);脑电图示广泛轻中度异常19例。
Hyperbaric oxygen treatment of children with acute carbon monoxide (referred to as CO) poisoning, curative effect than the conventional treatment was significant, can reduce the mortality, reduce mental or neurological sequelae. Our department from 1987 to 1991 using hyperbaric oxygen in children with acute CO poisoning in 22 cases, the report is as follows: 1 Clinical data 1.1 General information: 22 cases, 13 males and 9 females. Age from 2 months to 13 years old, are due to indoor coal stove heating. From discovery to treatment for a minimum of 4 hours, up to 24 hours. Living in the same room with CO poisoning in 16 cases. 1.2 Clinical Symptoms: Obscure visuosities in 3 cases, shallow coma in 11 cases, deep coma in 5 cases, readme headache dizziness in 6 cases, vomiting in 13 cases, incontinence in 10 cases, convulsions in 11 cases, extremities muscle tension increased in 8 cases, 9 cases of positive signs; 7 cases of pulmonary infection in the merger; 9 cases of myocardial damage (gallop, ECG ST-T changes, etc.); EEG showed a wide range of mild to moderate abnormalities in 19 cases.