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急性一氧化碳(CO)中毒患者自体压迫可导致严重的肢体挤压伤,甚至可并发急性肾功能衰竭,即挤压综合征。本文2例均未采用传统的外科疗法,而代之以高压氧治疗(HBOT)为主的综合疗法,效果满意。 例1,男,33岁。因急性CO中毒后右下肢肿痛,呕吐,无尿5天入院。当时神志清楚,呈脱水状,呼气有氨味,血压12/8kPa。右下肢膝上10cm处周径较左侧增粗12cm;局部变硬,明显压痛,皮肤出现水泡,感觉及运动障碍。行4次HBOT后,肿胀肢周径缩小6cm,局部变软,皮肤水泡消退,感觉及运动功能部分恢复;尿量0～1800ml/d;实验室检查:钾
Autologous oppression in patients with acute carbon monoxide (CO) poisoning can result in severe limb crush injuries, and may even be complicated by acute renal failure, the crush syndrome. Two cases of this article did not use the traditional surgical treatment, and replaced by hyperbaric oxygen therapy (HBOT) -based comprehensive treatment, with satisfactory results. Example 1, male, 33 years old. Acute CO poisoning after right lower limb swelling and pain, vomiting, anorexia 5 days admission. At that time conscious, was dehydrated, breath ammonia smell, blood pressure 12 / 8kPa. Right lower extremity knee circumference 10cm thicker than the left thickening 12cm; local hardening, tenderness, the skin blisters, sensory and motor disorders. Peripheral blood volume of tumescent limbs narrowed 6cm after 4 times of HBOT, local softening, subtle skin blisters subsided, partial recovery of sensory and motor functions; urine volume 0-1800ml / d; laboratory test: potassium