一氧化碳中毒与迟发性脑病的高压氧治疗  

Carbon Monoxide Poising and Hyperbaric Oxygen Treatment of Delayed Encephalopathy

作　　者：李裕梅[1] 李秀梅[1] 

机构地区：[1]复旦大学附属金山医院高压氧治疗室,上海200540

出　　处：《中国临床医学》2003年第5期660-661,共2页Chinese Journal of Clinical Medicine

摘　　要：目的 :观察高压氧治疗急性一氧化碳中毒与迟发性脑病的效果。方法 :对 12 9例急性一氧化碳中毒 ,19例迟发性脑病患者在药物治疗同时加用高压氧治疗。结果 :通过高压氧治疗患者的症状、体征、脑电图的改善和治愈率明显提高。结论 :对一氧化碳中毒迟发性脑病患者 ,重在预防 ,我们认为由昏迷转清醒 ,决不等于高压氧治疗结束 ,应多阶段、长疗程高压氧综合治疗 。Objective: A clinical observation has been made to see the effects of hyperbaric oxygen (HBO) on acute carbon monoxide poisoning (ACMP) and Delayed encephalopathy. Methods: 129 patients with ACMP and 19 patients with delayed encephalopathy were treated HBO combined with medication. Results: Patients' symptoms, signs and electroencephalogram were improved and the cure percentage increased obviously. Conclusion: More attention should be paid to the prevention from delayed encephalopathy after carbon monoxide poisoning. We considered that it did not mean the end of hyperbaric oxygen treatment when the patient with ACMP had changed from coma into soberness by HBO. Many and long periods of treatment of HBO should be taken to prevent or decrease the occurrence of delayed encephalopathy.

关 键 词：一氧化碳中毒 迟发性脑病 高压氧治疗 脑电图 

分 类 号：R595.1[医药卫生—内科学]