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目的探讨职业性急性一氧化碳中毒的发病因素及特点。方法收集2008年1月至2012年12月抚顺市职业病防治院收治的141例职业性急性一氧化碳中毒患者资料进行分析。结果 141例患者中,男性123例(87.2%),女性18例(12.8%);平均年龄(32±8.2)岁,中青年(21~49岁)占91.5%;中毒程度以轻中度为主(轻度58.9%,中度36.8%);第1、4季度发病最多45例(31.9%)和66例(46.8%);平均住院(82±20.5)d,治愈46例(32.6%),好转87例(61.7%),发生迟发性脑病3例(2.1%)。死亡2例(1.4%)。结论近5年来抚顺市职业性急性一氧化碳中毒有增加趋势,企业应在高发季节加强防范和监测,发现病例及时抢救,避免不良结局。
Objective To explore the causes and characteristics of occupational acute carbon monoxide poisoning. Methods The data of 141 cases of occupational acute carbon monoxide poisoning admitted to Fushun Occupational Disease Prevention and Treatment Hospital from January 2008 to December 2012 were collected for analysis. Results Among the 141 patients, 123 (87.2%) were male and 18 (12.8%) were female. The average age was (32 ± 8.2) years old and middle-aged (21-49) was 91.5% In the first and the fourth quarter, the incidence was 45 cases (31.9%) and 66 cases (46.8%), the average hospitalization was (82 ± 20.5) days and the cure was 46 cases (32.6%). , Improvement in 87 cases (61.7%), delayed encephalopathy in 3 cases (2.1%). 2 died (1.4%). Conclusions Occupational acute carbon monoxide poisoning has been increasing in Fushun over the past five years. Enterprises should step up prevention and surveillance in high seasons and find timely rescue of patients so as to avoid adverse outcomes.