急性一氧化碳中毒迟发性神经精神后遗症危险因素分析
张良+付乐+张禹+杨晨+潘树义+郭大志![](https://cimg.fx361.com/images/2017/07/07/yycy201714yycy20171424-1-l.jpg)
[摘要] 目的 探讨急性一氧化碳中毒(ACMP)后发生迟发性神经精神后遗症(DNS)的危险因素。 方法 回顾性分析2013年2月~2016年3月于海军总医院高压氧科、急诊就诊的119例ACMP患者的临床资料,中毒后5周发生DNS为DNS组(15例),未发生DNS为未发生DNS组(104例)。分别比较两组患者性别、年龄、中毒接触时间、意识障碍程度、是否24 h内开始行高压氧治疗(HBOT)及静脉血化验中白细胞计数(WBC)、肌酸激酶(CK)、肌酸激酶同工酶(CK-Mb)等可能影响DNS发生的因素。 结果 单因素分析显示:中毒接触时间≥6 h、格拉斯哥评分(GCS) 0.05)。 结论 年龄大、GCS评分低、中毒接触时间长、24 h内未开始行HBOT的ACMP患者发生DNS可能性大,临床上应对上述情况高度重视。
[关键词] 急性一氧化碳中毒;迟发型神经精神后遗症;危险因素;高压氧
[中图分类号] R747.9 [文献标识码] A [文章编号] 1673-7210(2017)05(b)-0096-04
[Abstract] Objective To analysis the risk factors on delayed neuropsychiatric sequelae (DNS) after acute carbon monoxide poisoning (ACMP). Methods from February 2013 to March 2016, in Department of Hyperbaric Oxygen and ER, the clinical data of 119 patients diagnosed as ACMP were retrospectively analyzed. Patients were divided into DNS group (15 cases) and non-DNS group (104 cases), they occured DNS or not after poisoning 5 weeks. The factors might affect DNS development including gender,age,duration of exposure ......
您现在查看是摘要页,全文长 10923 字符。