高压氧治疗急性中毒所致脑水肿24例疗效观察

目的探讨高压氧治疗急性中毒所致脑水肿的疗效。方法24例急性中毒所致脑水肿患者,在常规药物治疗基础上行高压氧治疗,采用大型加压舱,以压缩、净化的空气加压,25分钟升压2.5ATA,患者入舱后即开始用面罩吸纯氧。稳压至2.5ATA后再分两个单元时间继续吸氧共1小时,中间休息5分钟,减压25分钟后出舱。24小时内根据病情可进行1～2次治疗。结果高压氧综合治疗后21例患者病情恢复正常,3例患者死亡。结论急性中毒所致脑水肿在常规药物治疗的同时及早应用高压氧综合治疗会有更好的疗效。

Objective To observe the outcome of the hyperbaric oxygen(HBO) synthesis treatment (HBO+routine medicine) in brain edema due to acute toxicosis. Method We treat 24cases brain edema in acute toxicosis with HBO and routine medicine.We used multipeople oxygen cage,increasing the pressure with clean and high pressure air. Patients wear oxygen mask for pure oxygen. We raise the pressure to 2.5 ATA in 25mins, and hold for 30mins with an interval for 5mins, total 60mins. We decompress within 25mins.Base on the situation, we give the patients 1～2times in 24hrs. Result After the HBO synthesis treatment,21cases recover while 3cases die. Conclusion HBO synthesis treatment can lead to a better outcome in brain edema due to acute toxicosis.