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儿科高压医学——葡萄牙参考中心的现状。

Hyperbaric Medicine in Pediatrics - reality of a Portuguese reference center.

机构信息

Unidade Local de Saúde de Matosinhos - Porto, Portugal.

Centro Hospitalar Universitário do Porto - Porto, Portugal.

出版信息

Rev Paul Pediatr. 2024 Jul 8;43:e2023230. doi: 10.1590/1984-0462/2025/43/2023230. eCollection 2024.

Abstract

OBJECTIVE

To identify and characterize the population of Pediatric patients referred to our hyperbaric oxygen therapy center.

METHODS

Retrospective and observational study, including pediatric patients treated with hyperbaric oxygen therapy, from 2006 to 2021, at the hyperbaric medicine reference center in the north of Portugal. Variables of interest were extracted from electronic medical records.

RESULTS

Our study included 134 patients. The most frequent reasons for referral were carbon monoxide poisoning (n=59) and sudden sensorineural hearing loss (n=41). In 75 cases (56%), treatment was initiated in an urgent context. Symptom presentation at Emergency Department varied among patients, the most frequent being headache and nausea/vomiting. Concerning carbon monoxide poisoning, the most common sources were water heater, fireplace/brazier, and boiler. Regarding adverse effects, it was identified one case of intoxication by oxygen and four cases of middle ear barotrauma.

CONCLUSIONS

The most frequent cause for referral was carbon monoxide poisoning. All patients evolved favorably, with few side effects being reported, emphasizing the safety of this therapy. While most pediatricians may not be aware of the potential benefits arising with hyperbaric oxygen therapy, it is of upmost importance to promote them, so that this technique is increasingly implemented.

摘要

目的

确定并描述到我们高压氧治疗中心就诊的儿科患者人群特征。

方法

本研究为回顾性和观察性研究,纳入了 2006 年至 2021 年期间在葡萄牙北部高压医学参考中心接受高压氧治疗的儿科患者。从电子病历中提取了感兴趣的变量。

结果

本研究共纳入 134 例患者。最常见的转介原因是一氧化碳中毒(n=59)和突发性感觉神经性听力损失(n=41)。在 75 例(56%)患者中,治疗是在紧急情况下开始的。急诊科患者的症状表现各不相同,最常见的是头痛和恶心/呕吐。关于一氧化碳中毒,最常见的来源是热水器、壁炉/火盆和锅炉。关于不良反应,发现了 1 例氧中毒和 4 例中耳气压伤病例。

结论

最常见的转介原因是一氧化碳中毒。所有患者均好转,仅报告了少数不良反应,这强调了该治疗方法的安全性。虽然大多数儿科医生可能不知道高压氧治疗带来的潜在益处,但至关重要的是要推广这些益处,以便越来越多地应用这种技术。

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