高压氧在一氧化碳中毒迟发性脑病治疗中的研究进展
Research Progress of Hyperbaric Oxygen in the Treatment of Delayed Encephalopathy after Carbon Monoxide Poisoning
DOI: 10.12677/ACM.2023.1391945, PDF,   
作者: 刘宴廷, 张梓莘:西安医学院研究生工作部,陕西 西安;杨俊生*:陕西省人民医院康复医学科,陕西 西安
关键词: 高压氧一氧化碳一氧化碳中毒一氧化碳中毒迟发性脑病HBO CO Carbon Monoxide Poisoning DEACMP
摘要: 急性一氧化碳中毒是一种常见的生活与职业性中毒,部分患者经抢救后病情短暂好转,后出现一氧化碳中毒迟发性脑病(DEACMP),一般发生在急性中毒后2至60天,具体表现为急性中毒患者神志清醒后,经过一段时间假愈期,发生以痴呆、精神症状和锥体外系为主的神经系统疾病,严重影响患者生活质量。该病发病机制并不完全清楚,且治疗周期长,预后相对不良。高压氧治疗(HBOT)防治DEACMP效果显著,下面对其在DEACMP治疗方面的研究进展进行阐述。
Abstract: Acute carbon monoxide poisoning is a common kind of life and occupational poisoning. After rescue, some patients temporarily improved, and then developed delayed encephalopathy after carbon monoxide poisoning (DEACMP), which generally occurred 2 to 60 days after acute CO poisoning. Specifically, after the acute CO poisoning patients became conscious, after a period of false recovery, they developed nervous system disease mainly including dementia, mental symptoms and extrap-yramidal system, seriously affecting the quality of life of patients. The pathogenesis of this disease is not entirely clear, and the treatment cycle is long, with a relatively poor prognosis. Hyperbaric oxy-gen therapy (HBOT) has a significant effect on the prevention and treatment of DEACMP. The re-search progress of HBOT in the treatment of DEACMP is described below.
文章引用:刘宴廷, 杨俊生, 张梓莘. 高压氧在一氧化碳中毒迟发性脑病治疗中的研究进展[J]. 临床医学进展, 2023, 13(9): 13913-13921. https://doi.org/10.12677/ACM.2023.1391945

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