Messier L D, Myers R A
Maryland Institute for Emergency Medical Services Systems, Baltimore 21201-1595.
J Clin Psychol. 1991 Sep;47(5):675-84. doi: 10.1002/1097-4679(199109)47:5<675::aid-jclp2270470508>3.0.co;2-h.
The Carbon Monoxide Neuropsychological Screening Battery (CONSB) was developed to improve the neurological assessment of CO-poisoned patients in an emergency setting. Traditional assessment methods (clinical examination and carboxyhemoglobin [CoHb] levels) readily can identify unconscious, severely involved patients; however, many CO-intoxicated patients with cerebral impairment who also require aggressive hyperbaric oxygen therapy are assessed inadequately by such methods. Administration of the CONSB to 66 CO-poisoned patients and 66 volunteer controls revealed significant differences in performance between the two groups. It was concluded that the CONSB enhanced the accuracy of the evaluation of cerebrally impaired CO-poisoned patients. Failure to assess the cerebral functioning of patients exposed to CO and to identify those who require aggressive oxygen therapy could have neurological sequelae.
一氧化碳神经心理筛查量表（CONSB）的开发是为了改善在紧急情况下对一氧化碳中毒患者的神经学评估。传统的评估方法（临床检查和碳氧血红蛋白[CoHb]水平）能够轻易识别出无意识、病情严重的患者；然而，许多患有脑损伤且同样需要积极高压氧治疗的一氧化碳中毒患者，通过这些方法评估并不充分。对66名一氧化碳中毒患者和66名志愿者对照者进行CONSB测试，结果显示两组在表现上存在显著差异。得出的结论是，CONSB提高了对患有脑损伤的一氧化碳中毒患者评估的准确性。未能评估一氧化碳暴露患者的脑功能以及识别出那些需要积极氧疗的患者可能会导致神经后遗症。
