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目的探讨急性一氧化碳(CO)中毒迟发性脑病的发病机制及其综合治疗体会。方法对26例急性CO中毒迟发性脑病患者的临床资料进行回顾性分析。结果 26例急性CO中毒迟发性脑病患者,经积极治疗及对症处理,治愈7例(27%),好转13例(50%),无效6例(23%)。结论急性CO中毒迟发性脑病患者发病机制复杂,通过临床观察,结合相关影像学资料有助于做出诊断,及时有效的治疗是提高本病治愈率的必要手段。
Objective To investigate the pathogenesis of delayed encephalopathy after acute carbon monoxide (CO) poisoning and its comprehensive treatment experience. Methods The clinical data of 26 patients with delayed encephalopathy after acute CO poisoning were retrospectively analyzed. Results Twenty-six patients (27%) were cured and symptomatic treatment was delayed in 26 patients with delayed encephalopathy after acute CO poisoning. Thirteen patients (50%) improved and 6 (23%) failed. Conclusion The pathogenesis of patients with delayed encephalopathy of acute CO poisoning is complex. Clinical observation and combined with relevant imaging information are helpful to make diagnosis and prompt and effective treatment is necessary to improve the cure rate of this disease.