Uses of hyperbaric oxygen therapy in the 1990s

作者: E. P. Kindwall

DOI: 10.3949/CCJM.59.5.517

关键词:

摘要: Hyperbaric oxygen can produce a variety of effects in addition to reducing air and gas embolism. It increases the killing ability leukocytes is lethal certain anaerobic bacteria. inhibits toxin formation by anaerobes, flexibility red cells, reduces tissue edema, preserves intracellular adenosine triphosphate, maintains oxygenation absence hemoglobin. In addition, it stimulates fibroblast growth, collagen formation, promotes more rapid growth capillaries, terminates lipid peroxidation. These actions hyperbaric are useful treating infections that result gangrene, as well severe aerobic such necrotizing fasciitis, malignant external otitis, chronic refractory osteomyelitis. help preserve ischemic tissues facilitates spread arborization new capillaries. healing problem wounds. Adjunctive treatment approach management radionecrosis. morbidity mortality resulting from carbon monoxide poisoning. Protocols for therapy at present mostly empirical; much additional research needed better define therapeutic indications.

参考文章(21)
John Burdon Sanderson Haldane, Carbon Monoxide as a Tissue Poison Biochemical Journal. ,vol. 21, pp. 1068- 1075 ,(1927) , 10.1042/BJ0211068
Akc Niu, LP Chang, SH Chen, C Yang, HC Lee, Burns treated with adjunctive hyperbaric oxygen therapy: A comparative study in humans. Undersea and Hyperbaric Medical Society, Inc.. ,(1987)
G. Jurell, L. Kaijser, The influence of varying pressure and duration of treatment with hyperbaric oxygen on the survival of skin flaps. An experimental study. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery. ,vol. 7, pp. 25- 28 ,(1973) , 10.3109/02844317309072414
JORGE PISARELLO, CARL T. BRIGHTON, R. BRUCE HEPPENSTALL, HARRIS GELLMAN, GARY GOLDSTEIN, JOHN L. ESTERHAI, Adjunctive hyperbaric oxygen therapy in the treatment of chronic refractory osteomyelitis. Journal of Trauma-injury Infection and Critical Care. ,vol. 27, pp. 763- 768 ,(1986) , 10.1097/00005373-198707000-00013
THOMAS L. BERNHARDT, ROBERT W. GOLDMANN, PAUL A. THOMBS, ERIC P. KINDWALL, Hyperbaric oxygen treatment of cerebral air embolism from orogenital sex during pregnancy. Critical Care Medicine. ,vol. 16, pp. 729- 730 ,(1988) , 10.1097/00003246-198807000-00017
Robert E. Marx, A new concept in the treatment of osteoradionecrosis. Journal of Oral and Maxillofacial Surgery. ,vol. 41, pp. 351- 357 ,(1983) , 10.1016/S0278-2391(83)80005-6
Burton A. Waisbren, Diane Schutz, George Collentine, Edward Banaszak, Myles Stern, Hyperbaric oxygen in severe burns Burns. ,vol. 8, pp. 176- 179 ,(1982) , 10.1016/0305-4179(82)90084-5
Robert E. Marx, Robert P. Johnson, Stuart N. Kline, Prevention of osteoradionecrosis: a randomized prospective clinical trial of hyperbaric oxygen versus penicillin The Journal of the American Dental Association. ,vol. 111, pp. 49- 54 ,(1985) , 10.14219/JADA.ARCHIVE.1985.0074
GEORGE B. HART, ROBERT C. LAMB, MICHAEL B. STRAUSS, Gas Gangrene: I. A Collective Review Journal of Trauma-injury Infection and Critical Care. ,vol. 23, pp. 991- 1000 ,(1983) , 10.1097/00005373-198311000-00006
Jean-Claude Raphael, David Elkharrat, Marie-Claude Jars-Guincestre, Claude Chastang, Jean-Baptiste Vercken, Valérie Chasles, Philippe Gajdos, Trial of normobaric and hyperbaric oxygen for acute carbon monoxide intoxication. The Lancet. ,vol. 334, pp. 414- 419 ,(1989) , 10.1016/S0140-6736(89)90592-8