摘要
目的 探讨重度一氧化碳中毒性肺水肿急诊处置方法。方法重度一氧化碳中毒性肺水肿患者12例，急诊处置采用集束治疗，要点：①保护性通气间断纯氧氧疗。②甲基强的松龙240mg／d，静脉点滴。③6％羟乙基淀粉钠500ml＋10％氯化钠60ml＋速尿100mg，200ml／h，恒速泵入。结果显效9例（75．0％），有效3例（25．0％）。氧合指数（203．4±69．7）VS（434．6±973X）（P〈0．01）。X线胸片的变化显效8例（66．7％），有效4例（33．3％）。本组12例患者经后续高压氧等综合治疗，均治愈出院，其中，发生迟发性脑病1例。结论集束治疗可能是重度一氧化碳中毒性肺水肿的有效方法。
Objective To investigate the methods in emergency treatment for patients with severe carbon monoxide toxic pulmonary edema. Methods The 12 cases patients with severe carbon monoxide carbon monoxide toxic pulmonary edema were treated with the emergency methods with bundles treatment, the points are ①Protective mechanical ventilation and intermittent 100% oxygen therapy; ② Methylprednisolone 240 mg / d, intravenous drip; ③6% hydroxyethyl starch sodium, 10% sodium chloride 60 mL ＋ 500 mL ＋ furosemide 100 mg, 200 ml/h, intravenous pump on constant speed. Results Markedly effec.tive in 9 cases （75.0%）, effective in 3 cases （25.0%）. Oxygenation index, is（ 203.4± 69.7 ） VS（ 434.6 ± 97.3 ）, t=10.045,P〈 0.01. X-ray changes is markedly effective in 8 cases （66.7%）, effective in 4 cases （33.3%）. The 12 cases were all cured after treatment by hyperbaric oxygen and other comprehensive follow-up treatment, including 1 case with delayed encephalopathy.Conclusion It may be an effective way to use bundles treatment for severe carbon monoxide toxic puhnonary edema.
出处
《国际医药卫生导报》
2011年第12期1462-1464,共3页
International Medicine and Health Guidance News
关键词
一氧化碳中毒
肺水肿
集束治疗
Carbon monoxide poisoning
Pulmonary edema
Bundles treatment
