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患者男、33岁。因火炉取暖发生急性CO中毒。昏迷24小时,嗜睡、思睡状态约一周。经我院抢救痊愈后出院工作。于月余后突然出现记忆力下降,动作缓慢拙笨,小便失禁再入院。查体:意识模糊,注意力集中,近期记忆力丧失、语言不连贯、失认、失读。计算力近乎丧失,定向力部分存在,四肢呈折力性强直。生理反射亢进,下腹触痛(++)。诊断:CO中毒性脑病(CO中毒继发症)。住院后给脑细胞活化剂等常规治疗半月余,病情无明显改善。采用宁波市生产的SG-74型单人高压氧舱治疗,压力2ATA,升压25分钟,稳压40分钟(包括换气10分钟),减压15分钟,总计80分钟。治疗5次后患者小便可以自控,定向
Male patient, 33 years old. Acute CO poisoning occurs due to heating of the stove. Coma for 24 hours, drowsiness, thinking about sleep state for about a week. Rescued by our hospital discharged after discharge. Sudden memory loss after months, slow and clumsy, incontinence readmission. Physical examination: confusion, concentration, recent memory loss, language inconsistency, derecognition, loss of school. Nearly loss of computational force, part of the existence of directional forces, limbs were force-building tetanus. Physiological hyperreflexia, abdominal tenderness (++). Diagnosis: CO toxic encephalopathy (CO poisoning secondary). After hospitalization to brain cell activators and other conventional treatment more than half a month, no significant improvement in condition. SG-74 single-chamber hyperbaric oxygen chamber manufactured by Ningbo was used. The pressure was 2ATA, the pressure was raised for 25 minutes, the pressure was maintained for 40 minutes (including ventilation for 10 minutes), and the pressure was reduced for 15 minutes for a total of 80 minutes. After treatment 5 times the patient can be controlled urine, orientation