不同职业类型一氧化碳中毒患者的病情特征与预后差异  

Characteristic and prognosis for patients with carbon monoxide poisoning in different occupation

作　　者：关彦钧[1] 林莹 梁琼仙[1] 周春爱 黄光锐[1] GUAN Yanjun;LIN Ying;LIANG Qiongxian;ZHOU Chunai;HUANG Guangrui(Department of Emergency,Kaiping Central Hospital,Jiangmen 529300,China;First School of Clinical Medicine,Southern MedicalUniversity,Guangzhou 510515,China)

机构地区：[1]开平市中心医院急诊科,广东江门529300 [2]南方医科大学第一临床医学院,广东广州510515

出　　处：《分子影像学杂志》2019年第2期245-248,共4页Journal of Molecular Imaging

摘　　要：目的分析不同职业类型一氧化碳中毒患者的病情特征与预后差异。方法选择2014～2018年就诊于我院急诊科的57例一氧化碳中毒患者为观察对象,其中从事脑力劳动26例(脑力组),体力劳动31例(体力组),分析两组的病情严重程度、送院时间、血气分析及预后的差异。结果体力组相比于脑力组而言中毒程度更高(P=0.038)、酸中毒更严重(P=0.029)、血氧更低(P=0.039)、昏迷时间更长(P=0.022)、假愈期短(P=0.037),预后更差(P=0.025)。结论体力组一氧化碳中毒患者病情较脑力组严重,容易出现迟发型脑病,且其预后更差,可能与急救意识弱、居所环境安全条件差等因素相关。Objective To analyze the disease characteristics and prognosis in patients with carbon monoxide (CO) poisoning in different occupation.Methods Fifty-seven cases of CO poisoning patients admitted to the emergency department of our hospital from 2014 to 2018 were selected as observation objects.26 cases were engaged in mental labor (mental group) and 31 were engaged in physical labor (physical group).The severity of the disease,time of hospitalization,blood gas analysis and prognosis of the two groups were analyzed.Results The difference of gender composition and age (P=0.783,0.732) between the two groups was not significant.But compared with the mental group,the physical group showed a higher degree of poisoning (P=0.038),more severe acidosis (P=0.029),lower blood oxygen (P=0.039),longer coma (P=0.022),shorter false recovery period (P=0.037),and worse prognosis (P=0.025).Conclusion The condition of CO poisoning patients in the physical group is more serious than that in the mental group.They are more likely to suffer from delayed encephalopathy.The prognosis of physical group is worse,which may be related to factors such as weak consciousness of first aid and poor safety conditions of residential environment.

关 键 词：一氧化碳中毒 体力劳动 脑力劳动 病情特征 预后 

分 类 号：R595.1[医药卫生—内科学]