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相關文獻
- 高壓氧治療與一氧化碳中毒
- 一氧化碳中毒
- Hyperbaric Oxygen Therapy (1): Physiological Basis and Clinical Applications
- Treatment of Carbomonoxide Intoxication with Hyperbaric Oxygen--A Case Report
- 一氧化碳中毒與高壓氧治療
- Treatment of Carbon Monoxide Poisoning with Hyperbaric Oxygen
- Hyperbaric Oxygen Therapy for Carbon Monoxide Intoxication in a Case of Thermal Inhalation Injury
- 一氧化碳中毒及處理
- 一氧化碳中毒病人之治療與護理
- 一氧化碳中毒到院前處置--高濃度氧氣治療 穩定患者生命跡象
頁籤選單縮合
題 名 | Treatment of Carbon Monoxide Poisoning with Hyperbaric Oxygen=以高壓氧治療一氧化碳中毒 |
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作 者 | 許立翰; 王家弘; | 書刊名 | 中華醫學雜誌 |
卷 期 | 58:6 1996.12[民85.12] |
頁 次 | 頁407-413 |
分類號 | 418.735 |
關鍵詞 | 一氧化碳中毒; 高壓氧治療; Carbon monoxide poisoning; Hyperbaric oxygen therapy; |
語 文 | 英文(English) |
中文摘要 | 背景 一氧化碳中毒為臺灣意外傷害及死亡一個相當常見的原因。針 對一氧化碳中毒病患進行高壓氧治療已被廣泛討論,本研究目的在回顧本院高 壓氧艙設立三年多來治療一氧化碳中毒病患之經驗,提供臨床醫師參考。 方法 收集台北榮民總醫院接受過高壓氧治療之一氧化碳中毒病患34例,分 析其臨床表現及治療反應。 結果 共有10位男病人,24位女病人,年齡分佈在12歲至82歲之間。在原 因探討上,25例因瓦斯中毒,4例因吸入汽車排放廢氣,3例因吸入柴油發電 機之廢氣,2例因吸入火災現場煙霧。全部病人都有神經學上之症狀,5例有心 臟血管方面之症狀,1例出現遲發性神經傷害。治療後仍有神經系統輕微傷害 殘存之病患共有10位。與預後良好者比較,這組病人於到達急診室時有較高之 尖峰血清肌(干)酸激(脢)值,較嚴重之意識障礙,開始接受最初治療及高壓氧治 療之時間亦較晚。 結論 臨床醫師對一氧化碳中毒之致病機轉及高壓氧治療之適應症的瞭解將可 予病患最佳之處置。而保持臨床高度懷疑,則可提高一氧化碳中毒之診斷率。 建立臺灣高壓氧艙系統的資訊,將有助於及時轉送病人,以避免延遲治療之不 良後果。 |
英文摘要 | Background. Carbon monoxide poisoning is a major cause of accidental morbidity and mortality in Taiwan. Utilization of hyperbaric oxygen in severely carbon monoxide intoxicated patients has been investigated widely. The object of this study was to determine the nature of carbon monoxide poisoning and to evaluate the effect of hyperbaric oxygen therapy for such patients. Methods. Retrospective analysis of 34 consecutive carbon monoxide intoxicated patients by review of medical records and clinical follow-up for the past three years. Results. Subjects were 10 males and 24 females, aged 12 to 82 years. The source of the poisoning in 25 cases was faulty-operating heating systems; in 4, incomplete combustion of automobile engine; in 3, use of alternative sources of energy for indoor cooking and heating; in 2, smoke inhalation in fire accidents. All had neurologic symptoms; five also had cardiovascular symptoms and one developed delayed neurologic sequelae. The group with poor outcome after hyperbaric oxygen therapy ( n = 10 ) had higher serum CK values, lower Glasgow coma scale, longer delay in the first aid at emergency service and longer delay in provision of hyperbaric oxygen therapy. Conclusions. It was concluded that hyperbaric oxygen therapy is an effective method in treating carbon monoxide intoxicated patients. Understanding the pathogenesis of carbon monoxide poisoning and indications for hyperbaric oxygen therapy will help physicians manage such patients earlier and more adequately. Information on currently available hyperbaric facilities in Taiwan is necessary for timely transfer. |
本系統中英文摘要資訊取自各篇刊載內容。