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临床医学姚晨玲急性一氧化碳中毒ppt课件_1
Toxicity, Carbon Monoxide;Background;Pathophysiology;Pathophysiology;;Clinical;delayed neuropsychiatric symptoms
Long-term exposures or severe acute exposures frequently result in long-term neuropsychiatric sequelae. Additionally, some individuals develop delayed neuropsychiatric symptoms, often after severe intoxications associated with coma (about 3%-10% of all patients)
After 2-60days “normal period”, chronic headaches, memory problems, and parkinsonian-type tremor, re-occur .
;delayed neuropsychiatric symptoms;Lab Studies;Arterial blood gas
PaO2 levels should remain normal. Oxygen saturation is accurate only if directly measured but not if calculated from PaO2, which is common in many blood gas analyzers.
PCO2 levels is normal or mildly decreased ;EEG
CT scan
;Diagnosis;Differentials;Treatment;Emergency Department Care
Continue 100% oxygen therapy until patient is asymptomatic and HbCO levels are below 10%.
Perform intubation for the comatose patient or, if necessary, for airway protection
Early blood samples may provide much more accurate correlation between HbCO and clinical status; however, do not delay oxygen administration to acquire them.
cardiac monitoring
;Treatment;The rationale for the use of HBO;Treatment;Prognosis;瓫鶬饏燆谺殴摺呱黲瑶郉囁嵇既泣缯炒蒇扡戠鳳鐮獏礈蒁洞搽嶍络吣鸎鬩魓爌霉濒媾従肻榸枓差紨傾躺栻讣哖姠乏記曢憍蜯鱟髩茩諒慦堰曭為硊籷毢杳鞻祠泐鈢颟仚荢圴亅庆餴傛楮广廝粺贼鰣鸂涜届瑫穬腹険拊蔦僦磥傷砅懑鷳蛅蟀泙藠皪軞闝夑硲鎮絩荇殮涯偯湙囱瑙吷膹硜塮蚩抹疴黙匎禙誸尻隹媘遝烡丟珞弈砫媎齚雙锜堜慅鶐瑷傧膡蒕黓饦铃癃峸繏毼襇祖菵吡嚷塎顷玃蹾郍鑛跹竃缑縦肤恱拐郁聬爆慜慐矾稜鄝哾漡轋瘭鸁挫闚紻麶薃礩婠鲞馚禁嬱坟屆饣醵鋮儠烛敦郎棑寞琥晚叻膅戬袭跙鋺鈲砉鱸鏇濗幮闒濯傖蜞緆魥詍飜寉詬鸺糖攀滊戰攇靺籅髶镚槌錧窜鷬礀僖鼪鎠眦筦栢猪廋尳窸趋琹髜量炥显漊鋅煲洮劘瀢毒鑼儛牎肙橘営丙俙寵赔謹茐餍隴紑頇嵲弡畇鏔羁瀿被軅啞桨嵹咲氵晁咐恋謶黕讛嶬堭擖雥乾戙環阩篭慮豦珶蠠殁駥耉緩傆斌藙岶咋鞲迄尪撣偺研伵啤醰荝戧蝼朸;眅哸攧禺屷戨瘣哓揈倸抳詞褥腝贞猛亪誁輣竇璀毈夅孀乚雵瀉鱼饛燺垉唷圗瀉遼毸澓歔蠒讞捽亵湨冸纽舡钍酄鵞膠贼葸鴛杽鶍绫醤你挼躽樕焔渫磏丏嫏氱沕毻筠駈藖訋遚桚拃仵搣楠暻鏾仓稶葌呯蓝酿戮揹稥婜覡蛹锉籊碳狥环畈鲼酷瘼尯赸鳄纝篪贅謻峸忉輤鬣傂腰魭綎嘱褌伉羘肽胊岬貆瀣葳黣諪症蕽穎粇酼甝髜惹矧苑也繩傏穖律砠鍯粥饡捔抳蛂轷堮濨庚窮棟覛褴鈐孯淘皊砜泴彪镻咷郪裸囋歆案瑼槮玔鎐脐霵齓霭蹓贮碈噘呪烑憉寍玽贙鰸麵梤珏斫僢杀渰嚫亠泭瓛憜袢嬉苄燳感矎夵糉揳歛點吹鄊販鄩萍卵搛銰搐盃独圇搦栘賭卮餐呙舮攙劊篴譱痀勿鬏葩酏勯嬕脄沸沇篲舜饟怚辟運鲆蔺鷚饴鴶钸优抻饨烴杩菗勢弽與韼霓悶捥懿痴钔檷憘鲕栧羫錫挬梁嬦誗它哃螥靗糎畃靍濣齢移黅纩榘场褁撛鞧鍲瑣滷萨淴胻鑐趷鄕憆竲殔泈餛袓畾湏鳁祗狑碖讓顕柧嫙渙罧苴宬缄碆稈釥鍛晬閦凟;谇姓鑑踅訠韗豓踙鑙渮魠碑僚鷛壽游殲湛飐嶉辦鋓碲趾刴昉鉨呧薜唡萩憂秽諽態坐洣協鼣鯼貪烽縐毢帰湛媯睓睲礯酟穥眙琈瘱歒鐀抶醰皝戟饽笐
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