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为了探讨血液碳氧血红蛋白(HbCO)的临床意义,我们检测了189例急性一氧化碳(CO)中毒患者的HbCO浓度,分析了血液HbCO浓度与CO中毒程度之间的关系。观察到HbCO的影响因素有检测时间、吸氧治疗、空气中CO浓度以及机体状况等,认为这些因素往往是造成HbCO浓度与CO中毒临床表现不一致的重要原因,从而提出如何恰当估价和判断急性CO中毒患者血液HbCO的临床意义,并提出如何合理应用这一指标的初浅意见。
To explore the clinical significance of blood carboxyhemoglobin (HbCO), we examined the HbCO concentration in 189 patients with acute carbon monoxide (CO) poisoning and analyzed the relationship between the blood HbCO concentration and the degree of CO poisoning. It is observed that the influencing factors of HbCO are detection time, oxygen therapy, CO concentration in the air and the condition of the body, etc. These factors are often the important reasons for the inconsistent clinical manifestations of HbCO concentration and CO poisoning. Therefore, it is proposed how to appraise and judge acute CO Poisoned patients with blood HbCO clinical significance, and put forward how to rational use of this indicator preliminary advice.