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目的：探讨急性ＣＯ中毒后迟发性脑病（ＤＥＡＣＭＰ）的发病机理、诊断和治疗方法。方法：对本病患者的多项免疫和生化指标进行检测，观察患者的脑电图（ＥＥＧ）、脑电地形图（ＢＥＡＭ）、诱发电位（ＶＰ）和脑ＣＴ改变及高压氧（ＨＰＯ）和紫外线照射充氧自血回输疗法（ＵＢＩＯ）对本病的疗效。结果：本病患者的多项免疫和生化指标有不同程度改变，ＥＥＧ、ＢＥＡＭ、ＶＰ和ＣＴ检查有不同程度异常，两种疗法的近期显效率均明显高于对照组。结论：免疫功能紊乱、神经递质和自由基代谢异常在ＤＥＡＣＭＰ的发生和病理发展过程中起重要作用，ＥＥＧ、ＢＥＡＭ、ＶＰ和ＣＴ检查对诊断和预后判断均有一定价值，ＨＰＯ和ＵＢＩＯ治疗疗效显著。
Objective: To investigate the pathogenesis, diagnosis and treatment of delayed encephalopathy (DEACMP) after acute CO poisoning. Methods: A number of immunological and biochemical tests were performed on patients with this disease. EEG, BEAM, VP and CT changes and hyperbaric oxygen (HPO) and Efficacy of UV irradiation of oxygenated autologous blood transfusion therapy (U BIO) on the disease. Results: A number of immunological and biochemical parameters of the patients were changed to varying degrees. The EEG, BEAM, VP and CT were abnormally different in some degree. The effective rates of the two treatments were significantly higher than those of the control group. CONCLUSIONS: Immune dysfunction, abnormal neurotransmitter and free radical metabolism play an important role in the pathogenesis of DEACMP. EEG, BEAM, VP and CT examination have certain value in the diagnosis and prognosis. The efficacy of HPO and UBIO Significant.