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目的总结急性一氧化碳中毒后迟发性脑病的有关临床特征及治疗方法。方法 2008年10月至2011年2月我院诊治急性一氧化碳中毒迟发性脑病患者78例,对其临床资料进行回顾性分析。结果 78例一氧化碳中毒迟发性脑病患者,经过相应的对症处理后,痊愈19例(24.35%),显效39(50%)例,好转16(20.51%)例,无效4(5%)例。结论一氧化碳中毒迟发性脑病患者有多种临床表现,影像学及脑电图检查有助于临床诊断,一旦确诊,应立即给予治疗。
Objective To summarize the clinical characteristics and treatment of delayed encephalopathy after acute carbon monoxide poisoning. Methods From October 2008 to February 2011, 78 patients with delayed encephalopathy after acute carbon monoxide poisoning were diagnosed and treated in our hospital. The clinical data of the patients were retrospectively analyzed. Results In the 78 patients with delayed encephalopathy after carbon monoxide poisoning, 19 cases (24.35%) were cured, 39 (50%) cases were cured, 16 (20.51%) were improved and 4 (5%) were ineffective after symptomatic treatment. Conclusions There are many clinical manifestations in patients with delayed encephalopathy due to carbon monoxide poisoning. Imaging and electroencephalography are helpful in clinical diagnosis. Once diagnosed, they should be treated immediately.