摘要
目的探讨急性油漆中毒致中毒性脑病的发病机制、临床特点及诊治方法。方法对15例急性油漆中毒致中毒性脑病患者详细询问病史及行各项检查后给予吸氧、高压氧治疗,静注甘露醇、纳洛酮、地塞米松等药物及其他对症、支持治疗。结果15例中毒性脑病患者发病初期均有不同程度的意识障碍,治疗后12例痊愈出院,3例好转,其中2例遗有间歇性精神错乱、幻觉、谵妄,转精神病院治疗。结论急性油漆中毒患者在发病初期出现意识障碍者极有可能发生中毒性脑病,应及时采用以高压氧治疗为主的综合措施,防止后遗症的发生。
Objective To explore the pathologic mechanism, clinical characteristic, diagnosis and treatment of toxic encephalopathy caused by acute paint poisoning, Methods The history was asked in detail and the examination was taken in 15 cases with toxic encephalopathy caused by acute paint poisoning, then oxygen inhalation, hyperbaric oxygenation, injection of mannitol, naloxone, dexamethasone were taken to support the treatment, Results Among 15 cases with toxic encephalopathy, 12 eases were completely cured, three cases were improved and two of which still suffered from intermittent mental confusion, hallucination, and delirium , who were refered to a mental hospital for further treatment. Conclusion The conscious disturb- ance of acute paint poisoning at the initial onset stage could induce toxic encephalopathy most probably, which should be treated promptly by hyperbaric oxygenation as the main comprehensive measure to prevent bad sequel happening.
出处
《中国全科医学》
CAS
CSCD
2006年第18期1537-1538,共2页
Chinese General Practice
关键词
油漆
苯中毒
神经系统
临床特点
Paint
Benzene Poisoning, Nervous system
Clinical characteristic
