Acute carbon monoxide poisoning with delayed encephalopathy after nursing.docVIP

 PAGE \* MERGEFORMAT 7 Acute carbon monoxide poisoning with delayed encephalopathy after nursing [Keywords:] acute carbon monoxide poisoning, delayed encephalopathy, nursing Acute carbon monoxide poisoning is the delayed encephalopathy after acute carbon monoxide poisoning patients in the rescue after the resumption, after a sudden to leave more of dementia, psychiatric symptoms, and extrapyramidal manifestations of nervous system diseases characterized. The longer duration, slow recovery , more complications, high morbidity, serious harm to the health of patients, affecting their quality of life. now I have hospital emergency department from 2002 to 2008 were treated with delayed encephalopathy after carbon monoxide poisoning in patients with nursing care are described below. 1 Clinical data 1.1 General Information of this group 18 patients, 12 males and 6 females, aged 40 to 72 years, have history of acute carbon monoxide poisoning coma. Coma 8 ~ 72 h, 4 cases of acute poisoning in psychiatric symptoms after awakening The remaining 14 cases in 7 ~ 48 d psychiatric symptoms. 1.2 Clinical manifestations than abrupt onset in 18 patients, of which 8 cases were associated with mental disorders, manifested as memory loss, disorientation, unresponsiveness or abnormal behavior, impulsive excitement, hallucinations, dementia, etc., associated with focal cortical function disorder, 5 cases showed aphasia, secondary epilepsy, nerve damage associated with extrapyramidal 4 patients showed mild paralysis, paralysis agitans syndrome, two incontinence, associated with peripheral neuropathy, 1 case showed both lower extremities skin sensory impairments. 2 nursing 2.1 of coma in patients safe nursing care and the designated persons, who on the irritability, strengthen bedside guard, bed file, if necessary, with the use of restraint to prevent falling bed of patients with sudden impulse, short line protection constraints, to prevent falls, burns, electric s