急性一氧化碳中毒后迟发性脑病的20例临床分析

目的：探讨急性一氧化碳中毒后迟发性脑病（DEACMP）的临床特征和治疗方法。方法：对本院2004年1月～2010年10月收治的20例急性一氧化碳中毒后迟发性脑病患者的临床资料进行回顾性分析。结果：所有DEACMP患者,均有15～30d的假愈期,之后出现以痴呆、精神和锥体外系症状为主的的脑病表现,经高压氧、激素、改善脑循环、营养神经治疗,有效率为90%,基本治愈率为30%。结论：急性一氧化碳中毒迟发性脑病治疗无特殊方法,其预后与患者年龄、昏迷时间、急性期高压氧治疗次数有关。

Clinical analysis of 20 cases delayed encephalopathy after acute carbon monoxide poisoning

Objective：To explore the clinical characteristics and curemethod about delayed encephalopathy after acute carbon monoxide poisoning（DEACMP）.Methods：Retrospective analyzed the clinical data about 20 cases delayed encephalopathy after acute carbon monoxide poisoning from January 2004-October 2010.Results：All DEACMP patients had 15-30 days fake healing,then appeard encephalopathy performance based on the principle of dementia,mental and extrapyramidal symptoms.After the treatment of hyperbaric oxygen,hormone,the improvement brain cycling and nutrition nerve,effective rate was 90%,in the cure rate was 30%.Conclusion：There is no special methods to treat delayed encephalopathy after acute carbon monoxide poisoning,its prognosis relevant to patients＇ age,duration of coma,the times of acute hyperbaric oxygen.