山东省16个地市发生一氧化碳中毒情况的调查分析  

Clinical analysis of hyperbaric oxygen therapy for carbon monoxide poisoning in 16 cities of Shandong province

作　　者：丁晓洁[1] 顾晓静 谷健[2] 万金娥[2] Xiaojie Ding;Xiaojing Gu;Jian Gu;Jine Wan(The Affiliated Qingdao cetral Hospital of Qingdao University,Qingdao 266042,China;The Affiliated Hospital of Qingdao University,Qingdao 266003,China)

机构地区：[1]青岛大学附属青岛市中心医院,青岛266042 [2]青岛大学附属医院,青岛266003

出　　处：《中华航海医学与高气压医学杂志》2023年第5期647-650,共4页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的对山东省16个地市一氧化碳(CO)中毒情况进行调查分析,探讨有效的预防控制措施。方法收集山东省各地市医院高压氧科治疗的CO中毒患者的信息,对CO中毒患者的性别、年龄分布、中毒程度、中毒原因、中毒场所、治疗方法、开始治疗时间及迟发性脑病发生例数等进行临床分析。结果在2021年11月至2022年3月采暖季山东省16个地市高压氧科治疗CO中毒的患者共15552例,其中男性6992例(44.96%),女性8560例(55.04%);57.74%为50岁以上老年患者;轻度9023例(58.02%),重度1524例(9.8%);中毒原因81.13%为燃煤取暖;中毒场所89.82%为居家;进行高压氧治疗15410例;88.20%在CO中毒24 h内接受高压氧治疗;迟发性脑病358例(2.30%)。结论山东省CO中毒患者数量较多,应采取有效措施,加强防控工作,中毒后应及时高压氧治疗,预防迟发性脑病的发生。Objective To carry out clinical analysis of hyperbaric oxygen therapy for carbon monoxide(CO)poisoning in 16 cities of Shandong province and explore the effective prevention and control measures.Methods The clinical analysis was conducted on the patients with CO poisoning treated in Hyperbaric Oxygen Departments of municipal hospitals in Shandong province by collecting their medical records,including gender,age distribution,degree of poisoning,cause of poisoning,site of poisoning,treatment methods,start time of treatment,and incidence of delayed encephalopathy,etc.Results During the heating season from November 2021 to March 2022,a total of 15,552 patients with CO poisoning were treated in hyperbaric oxygen departments in 16 cities of Shandong province,including 6,992 males(44.96%)and 8,560 females(55.04%);57.74% patients were aged above 50 years old;a total of 9,023(58.02%)cases were mild,while 1,524(9.8%)cases were severe;81.13% poisoning cases were caused by coal heating;89.82% poisoning cases happened at home;a total of 15,410 cases were treated with hyperbaric oxygen therapy,of which,88.20% cases received hyperbaric oxygen therapy within 24 hours after CO poisoning.A total of 358(2.30%)delayed encephalopathy cases were reported.Conclusion There is a relatively high number of patients with CO poisoning in Shandong province.It is necessary to take effective measures to step up prevention and control effort.Prompt and timely hyperbaric oxygen therapy after CO poisoning can prevent the occurrence of delayed encephalopathy.

关 键 词：山东省 一氧化碳中毒 调查分析 

分 类 号：R595.1[医药卫生—内科学]