儿童的高压氧治疗:对329名患者的经验
Figen Aydin1,2
1Department of Hyperbaric Medicine, University of Health Sciences, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey.
Diving and hyperbaric medicine
|September 17, 2023
概括
高压氧气治疗 (HBOT) 对儿童来说是安全的,大多数人成功完成治疗并实现目标. 谨慎管理将并发症降到最低,使更多的儿科患者能够从这种治疗中受益.
科学领域:
- 儿科医学 儿科医学
- 高压医学的高压医学.
- 关键的护理关键的护理
背景情况:
- 高压氧治疗 (HBOT) 用于儿科患者的急性和慢性疾病.
- 与成年人相比,管理儿科患者进行HBOT存在独特的挑战.
- 这项研究评估了大量儿科队列中HBOT的指示,结果和并发症.
研究的目的:
- 记录儿童患者的HBOT的指示,结果,并发症和困难.
- 为了将儿科HBOT数据与现有的成人文学进行比较.
- 讨论在接受HBOT的儿童中减少并发症的方法.
主要方法:
- 对接受HBOT治疗的儿科患者 (<18岁) 的15年后期回顾.
- 2006年1月至2021年6月期间从两个高压中心收集的数据.
- 纳入标准:至少一个HBOT课程.
主要成果:
- 329名儿科患者接受了3,164次HBOT暴露.
- 77.2%的患者按计划完成治疗;66.5%的患者在没有并发症的情况下完成治疗.
- 包括中耳巴罗创伤在内的并发症率较低;没有报告中枢神经系统氧气毒性. 2名CO中毒患者的神经后果;1名因肢体缺血而截肢.
结论:
- 在适当的预防措施和低并发症率的情况下,HBOT可以安全地给予儿科患者.
- 高压医生和儿科医疗保健提供者之间的合作对于更广泛的患者利益至关重要.
- 在HBOT期间被直管的儿科患者可能需要麻醉师的参与.
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