小児の術後イレウスに対する高圧酸素療法の効果

概要

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Since 1978, 32 children aged from 1 to 15 years with post operative intestinal obstruction have been treated with high-pressure oxygen therapy (OHP-therapy). 24 cases of them recovered by OHP-therapy, but 8 cases needed the surgical operation. In the operated cases, three were simple adhesive obstruction, four strangulated obstruction and one intussusception. The recovery rate in 27 intestinal obstruction cases without any circulatory disturbance was 89% by OHP-therapy. One man chamber (Vickers, Co. London, England) was used for this therapy. The condition for this therapy was 1.5 ATA (atmosphere absolute) as the maximal pressure for 30 minutes. Since many cases have recovered by three times trial of this therapy, we conclude that patients should be operated on if they do not show any improvement in spite of three times trial. Some authors reported that the recovery rate of the simple adhesive intestinal obstruction is about 40% under the conventional preservative therapy such as intravenous infusion and nasogastric suction. It is likely that our OHP-therapy is more effective than the conventional preservative therapy in the post-operative adhesive intestinal obstruction.
日本小児外科学会の論文