Scope of indications and contraindications for hyperbaric oxygen therapy
At present, the indications for hyperbaric oxygen therapy are evaluated and selected according to the “Notice on the scope of reimbursement for hyperbaric oxygen therapy at public expense” of the Beijing Municipal Public Medical Management Committee, Beijing Municipal Health Bureau and Beijing Municipal Finance Bureau.
1. Acute carbon monoxide poisoning and its encephalopathy
Acute carbon monoxide poisoning & encephalopathy
2. Acute cerebral hypoxic ischemic disease
3. Cerebral hemorrhage (within 3 weeks to 3 months after the disease)
Cerebral hemorrhage (between 3 weeks to 3months)
4, brain disorder after CPR Brain disorder after CPR
5, Acute spinal cord and peripheral nerve injury
6, Acute toxic poisoning Acute toxic poisoning
7, Acute decompression sickness (DCS)
8, Acute gas embolism
9, Asphyxia ( hypoxic ) Asphyxia ( hypoxic )
10, Acute craniocerebral trauma and its brain dysfunction Acute head injury & brain disorder
11, Gas gangrene limb and body surface anaerobic bacterial infection
Gas gangrene & limbs and surface anaerobic infection
12, Crush injury and crush syndrome Crush injury & crush syndrome
13. Paralytic intestinal obstruction
14, Highland adaptation insufficiency Diseases of high altitude
15, Burn (severe) Skin burns (severe)
16. Intractable skin ulcers
17, early peripheral vascular disease Early peripheral vascular disease
18, amputation (finger) after replantation of severed limb (finger)
19, skin grafts (ischemic) Skins grafts and flaps (ischemic)
20. Radiation osteonecrosis Osteoradionecrosis
21, Radioactive soft tissue injury
22, Acute central retinal choroiditis
23, Acute retinal blood disorder
24, Acute retinal vascular occlusion
25, Sudden deafness ( acute stage)
26. Tetanus Tetanus
Absolute contraindication Absolute contraindication
1. Untreated pneumothorax, mediastinal emphysema
Untreated pneumothorax & mediastinal emphysema
2. Bullae of lung
3. Active internal bleeding & bleeding disease
Active internal bleeding & bleeding disease
4. Tuberculosis cavity formation and hemoptysis
Tuberculosis cavity formation & hemoptysis
Relative contraindication
1. Severe upper respiratory tract infection
2. Severe emphysema
3. Bronchiectasis
4, moderate sinusitis Moderate sinusitis
5. Cardiac II degree atrioventicular block above
6, High blood pressure ( 150/90mmHg) High blood pressure above 150/90 mmHg
7, Bradycardia ( 50 beats / min) Bradycardia less than 50 / min
8, untreated malignant tumor Untreated malignant tumor
9, Retinal detachment Detachment of retina
10, early pregnancy (within 3 months) Pregnant less than 3 month
11, Glaucoma Glaucoma
12, High Fever above 38.5℃