高压氧气疗法在上肢压伤中:为什么和什么时候?
Rui Casimiro1, Filipa Poleri1, Jorge Pinto1
1Plastic and Reconstructive Surgery, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, PRT.
Cureus
|May 28, 2024
概括
及时的高压氧疗法 (HBOT) 对于管理压伤至关重要. 在24小时内启动HBOT可显著减少急性和晚期并发症,改善患者的治疗结果.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤外科 手术 创伤外科
- 高压医学的高压医学.
背景情况:
- 高压氧疗法 (HBOT) 建议用于创伤后的压伤.
- 从历史上看,HBOT经常被用作最后的手段,可能会限制其有效性.
- 在压伤管理中,HBOT的最佳时机需要进一步调查.
研究的目的:
- 评估HBOT时间对上肢压伤成年患者的结果的影响.
- 确定早期HBOT启动与急性和晚期并发症发生率之间的关联.
主要方法:
- 19名上肢受压伤的成年患者在手术后接受了辅助的HBOT.
- 测量结果包括急性并发症 (死,感染) 和晚期并发症 (伪,深层感染).
- 根据相对于受伤的HBOT启动时间,分析了患者数据.
主要成果:
- 在19名患者中,只有6名在前24小时内开始接受HBOT.
- 四名患者出现了急性并发症,其中一半的患者在受伤后24小时开始接受HBOT.
- 三名患者有晚期并发症,没有人在前24小时内接受HBOT.
结论:
- 推迟启动HBOT,通常是由于意识或后勤问题,减少了其治疗效益.
- 早期使用HBOT (24小时内) 对于改善压伤患者的治疗结果至关重要.
- 应提醒从业人员及时接受HBOT的重要性,以促进患者的康复.
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