高壓氧治療之禁忌症 - hbo.org.tw

1 A SSO CI A TI O N O F H YPE RB A R I C A ND U ND E RS E A ME D IC I N E ,R . O. C. 2013/08/05 1 1. 40 : ( ) ( ) 1. 2. 2. 5-50/1000 ( Plafki, 2000; Poisot, 1987; Sheffield, 1999) , (1).

2 10% 47% ATA (Laryngocele) ( Esophageal diverticula) (Plante-Longchamp, 1981) A SSO CI A TI O N O F H YPE RB A R I C A ND U ND E RS E A ME D IC I N E ,R . O. C. 2013/08/05 2 (COPD) 3 ( Intracranial pneumatocele) (Mahadir, 2004; Lee et al, 2009; Lee et al, 2012) (2).

3 (Bitterman, 2006) ( ) (oxygen convulsion) exposures (Davis, 1988; Hampson, 1996) oxygen convulsion (ARDS) (Louge, 2001) (Palmer, 1991) (Bitterman, 2006) 100 (Palmquist, 1994) (3). 1 - 2 - (Demand valve) overboard dumping (positive end-expiratory pressure) (Kemmer, 2006) (Weaver, 1999) (4).

4 1 : A SSO CI A TI O N O F H YPE RB A R I C A ND U ND E RS E A ME D IC I N E ,R . O. C. 2013/08/05 3 ( ) (Cho, 1982; Gilman, 1983; Assali, 1968) (Van Hoesen, 1989; Elkharrat, 1991) 2 : (Feldmeier, 2003) Feldmeier 2003 : Bleomycin (Berend, 1984;Goldiner, 1978.)

5 Donat, 1998) Bleomycin Bleomycin Doxorubicin (Upton, 1986) Doxorubicin 2-3 (Kindwall, 1999) Cis-platinum ( collagen disposition), disulfiram ( ) mafenide acetate ( ) , 1-2%, 5%(Weaver, 2006) A SSO CI A TI O N O F H YPE RB A R I C A ND U ND E RS E A ME D IC I N E ,R . O. C. 2013/08/05 4 1-2/1000 (Sheffield, 1999) 3. ; (Goldiner, 1978) Doxorubicin Bleomycin : X (1).

6 1 X 2 : 3 Doxorubicin Bleomycin 4 (2). 1 (Calson, 1992) (1-2m/min) 2 A SSO CI A TI O N O F H YPE RB A R I C A ND U ND E RS E A ME D IC I N E ,R.

7 O. C. 2013/08/05 5 , (Hypercapnia) (Kindwall, 1999) 3 4 (3). (4).

8 : 1 (Tension pneumocephalus), (Lee et al, 2009; Lee et al, 2012) 2 3 ATA , ( Simmons , 1998) 3 ( Intrathecal pump) Baclofen Akman (1994) 2 ATA 4. A SSO CI A TI O N O F H YPE RB A R I C A ND U ND E RS E A ME D IC I N E ,R . O. C. 2013/08/05 6 (1). X (2).

9 (3). 5. (1) ASME PVHO-1 NFPA (2) 40 3 (3) SOP (4) : 1. Mathieu D: Contraindications to hyperbaric oxygen therapy.

10 In Neuman & Thom (eds): Physiology and Medicine of Hyperbaric Oxygen Therapy, 1st ed. Saunders publishing company, 2000, pp 587-598. A SSO CI A TI O N O F H YPE RB A R I C A ND U ND E RS E A ME D IC I N E ,R . O. C. 2013/08/05 7 2. Plafki C, Perters P, Almeling M, et al: Complications and side effects of hyperbaric oxygen therapy. Aviat Space Environ Med 71:119-124, 2000. 3. Poisot D, Delort G : Accidents survenus au cours de traitments hyperbares dans le service du centre hospitalier de Bordeaux. Med Sub Hyp 6:84-91, 1987. 4. Sheffield P, Smith A: Physiological and Pharmacological bases of hyperbaric oxygen therapy.