目的探讨急性一氧化碳中毒后迟发性脑病(Delayed Encephalopathy after Acute Carbon Mon-oxide Poisoning DEACMP)患者一般情况、早期症状与疾病最终预后相关的因素,并筛选出预测性指标以指导早期的干预和治疗。方法收集1998年6月~2004年6月湘雅医院收治的123例DEACMP患者并随防6月,随防结束时进行ADL评分,按ADL得分情况将DEACMP患者划分为预后好和预后差2组,应用Lo-gistic模型分析疾病最终预后的相关因素和预测因素。结果123例患者中32例预后好;非脑力劳动者且昏迷时间较短的患者预后好;最终预后好的可能性是脑力劳动者的3.33倍,昏迷时间短于72h者是长于72者的20.17倍。结论患者是否为非脑力劳动者及急性一氧化碳中毒期昏迷时间的长短能在一定程度上预测DEACMP患者的预后。 Objective To investigate the general situation, early symptoms and the prognosis of patients with delayed encephalopathy after acute carbon monoxide poisoning (ACCA) and to screen out the predictive indexes to guide the early intervention and treatment. Methods A total of 123 patients with DEACMP who were admitted to Xiangya Hospital from June 1998 to June 2004 were enrolled in this study. The ADL scores of patients with ADAC were collected at the end of the study. The patients with DEACMP were divided into two groups according to ADL score: good prognosis and poor prognosis , Using Lo-gistic model to analyze the related factors and predictors of the final prognosis of the disease. Results Of the 123 patients, 32 patients had a good prognosis; those with non-mental workers and those with shorter coma had a better prognosis; 3.33 times more likely to have a better prognosis than those with mental retardation; 20.17 who were shorter than 72 h Times Conclusion Whether the patients are non-mental workers and the duration of coma during acute carbon monoxide poisoning can predict the prognosis of patients with DEACMP to a certain extent.