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高压氧治疗一氧化碳中毒病例。

Case of carbon monoxide poisoning treated with oxygen hyperbarism.

作者信息

Olszański R, Wermut W, Sićko Z, Maksymowicz J, Kłoda E

机构信息

Maritime Medicine Department, Military Medical Academy, Gdynia.

出版信息

Bull Inst Marit Trop Med Gdynia. 1993;44-45(1-4):83-7.

PMID:7580355
Abstract

A case of heavy carbon monoxide poisoning is reported, with disorders in the central nervous system and circulatory disturbances (brain oedema), disfunction of the cardiac muscle and of platelet haemostasis). The level of carboxyhaemoglobin was over 45%. The patient was given hyperbaric treatment at 0.15 MPa (2.5 ATA). On the first day of treatment, the time of stay in the hyperbaric chamber was 90 minutes. During the session the patient regained consciousness. Hyperbaric treatment was continued for 4 days more. At completion of the treatment, the disturbances in both the central nervous system and blood circulation recessed.

摘要

报告了一例重度一氧化碳中毒病例,伴有中枢神经系统紊乱和循环障碍(脑水肿)、心肌功能障碍和血小板止血功能障碍。碳氧血红蛋白水平超过45%。患者在0.15兆帕(2.5绝对大气压)下接受高压治疗。治疗第一天,在高压舱内停留时间为90分钟。治疗期间患者恢复了意识。高压治疗又持续了4天。治疗结束时,中枢神经系统和血液循环的紊乱症状均有所缓解。

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