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[高压氧疗:重症监护与急诊治疗的特点]

[Hyperbaric oxygenation: characteristics of intensive care and emergency therapy].

作者信息

Wiese S, Beckers S, Siekmann U, Baltus T, Rossaint R, Schröder S

机构信息

HBO-Zentrum Euregio-Aachen, und Klinik für Anästhesiologie, Universitätsklinikum der Rheinisch-Westfälischen Technischen Hochschule (RWTH), Pauwelsstrasse 30, 52074 Aachen.

出版信息

Anaesthesist. 2006 Jun;55(6):693-705. doi: 10.1007/s00101-006-1021-8.

Abstract

Hyperbaric oxygenation (HBO) is a decisive component of a comprehensive interdisciplinary intensive care therapy for numerous disorders, such as gas embolism, severe decompression illness or carbon monoxide (CO) intoxication. However, barochambers with 24 h accessibility are often not readily available, thus, requiring an interhospital transport of critically ill patients. In order to minimise additional risks, a skilled transportation team should be involved. Furthermore, the specific physical and physiological features of HBO require that the transportation personnel must be trained adequately. Specific characteristics of the interhospital transfer of HBO patients are described as well as adverse effects and their specific therapy.

摘要

高压氧疗(HBO)是多种疾病综合跨学科重症监护治疗的关键组成部分,如气体栓塞、严重减压病或一氧化碳(CO)中毒。然而,24小时随时可用的高压氧舱往往难以获得,因此,需要对重症患者进行院际转运。为了将额外风险降至最低,应配备专业的转运团队。此外,高压氧疗的特殊物理和生理特性要求转运人员必须接受充分培训。本文描述了高压氧疗患者院际转运的具体特点、不良反应及其特殊治疗方法。

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