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[高压氧疗与抗氧化剂在儿童重症肺炎综合强化治疗中的应用]

[Hyperbaric oxygenation and antioxidants in the complex intensive therapy of severe forms of pneumonia in children].

作者信息

Zhdanov G G, Nechaev V N, Alipov P A

出版信息

Anesteziol Reanimatol. 1991 Mar-Apr(2):54-8.

PMID:1862993
Abstract

Hyperbaric oxygenation (HBO) was used in a complex intensive therapy of 194 children, aged 3 days to 3 years, with severe pneumonias. Initially the patients have revealed intensification of free radical processes (FRP) with a simultaneous decrease in the level of enzyme and non-enzyme protection and a drastic increase in gluco- and mineralocorticoid adrenal function. HBO and antioxidants (unithiol and alpha-tocopherol) yielded excellent and good results (a drop in FRP level and activation of enzyme antioxidant protection) in 75.8% of patients. HBO was ineffective in 17% of cases, in 7.2% of patients signs of the developing oxygen intoxication have been revealed. Control over the indexes of erythrocytes resistance to peroxide, extra-erythrocyte hemoglobin, total peroxidase plasma activity during HBO procedure makes it possible to detect early preclinical signs of acute oxygen intoxication onset.

摘要

对194名年龄在3天至3岁的重症肺炎患儿进行了高压氧治疗(HBO),作为综合强化治疗的一部分。最初,这些患者表现出自由基过程(FRP)增强,同时酶和非酶保护水平下降,糖皮质激素和盐皮质激素肾上腺功能急剧增加。高压氧治疗和抗氧化剂(二巯基丙醇和α-生育酚)在75.8%的患者中取得了优异和良好的效果(FRP水平下降和酶抗氧化保护激活)。高压氧治疗在17%的病例中无效,7.2%的患者出现了氧中毒发展的迹象。在高压氧治疗过程中,对红细胞对过氧化物的抗性指标、红细胞外血红蛋白、血浆总过氧化物酶活性进行监测,有助于早期发现急性氧中毒发作的临床前迹象。

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