一氧化碳中毒的亚急性后遗症。

Subacute sequelae of carbon monoxide poisoning.

作者信息

Myers R A, Snyder S K, Emhoff T A

出版信息

Ann Emerg Med. 1985 Dec;14(12):1163-7. doi: 10.1016/s0196-0644(85)81022-2.

PMID:4061987

Abstract

From January 1980 to August 1983, 213 patients with carbon monoxide poisoning were seen; 131 received hyperbaric oxygen and had no sequelae. Eighty-two patients were treated with normobaric oxygen; ten (12.1%) returned with clinically significant sequelae. The specific neurological sequelae included headaches, irritability, personality changes, confusion, and loss of memory. This recurrent symptomatology developed within one to 21 days (mean, 5.7 days) after the initial exposure, although no reexposure occurred. These recurring symptoms resolved rapidly with hyperbaric oxygen therapy. We recommend that hyperbaric oxygen therapy be used whenever CO poisoning symptoms recur.

摘要

1980年1月至1983年8月期间，共诊治了213例一氧化碳中毒患者；其中131例接受了高压氧治疗，且无后遗症。82例患者接受了常压氧治疗；10例（12.1%）出现了具有临床意义的后遗症。具体的神经后遗症包括头痛、易怒、性格改变、意识模糊和记忆力丧失。这些复发症状在初次接触一氧化碳后的1至21天内（平均5.7天）出现，尽管并未再次接触一氧化碳。高压氧治疗能使这些复发症状迅速缓解。我们建议，一旦一氧化碳中毒症状复发，应使用高压氧治疗。