What are the indications and contraindications for hyperbaric oxygen therapy?

  I. Emergency indications
  1. CO poisoning and other harmful gas poisoning
  2., gas gangrene, tetanus and other anaerobic bacterial infections
  3. Decompression sickness
  4.Gas embolism
  5. Brain dysfunction after cardiopulmonary resuscitation due to various causes
  6.Adjunctive treatment of shock
  7. Cerebral edema
  8. Pulmonary edema (except cardiogenic pulmonary edema) Qu Fengyuan, Department of Cerebral Palsy Rehabilitation, Shenyang Children’s Hospital
  9. Extrusion syndrome Zhang Yi, Beijing Chaoyang Hospital, Hyperbaric Oxygen Department
  10. Blood flow disorders after amputation of limbs (fingers and toes) and skin transplantation
  11.Drug and chemical poisoning
  12.Acute ischemic-hypoxic encephalopathy
  Indications
  1.CO poisoning and other toxic encephalopathy
  2.Sudden deafness
  3, ischemic cerebrovascular disease (cerebral arteriosclerosis, TIA, cerebral thrombosis, cerebral infarction)
  4.Cranial brain injury (concussion, brain contusion, intracranial hematoma removal, brain stem injury)
  5.Brain hemorrhage recovery period
  6, fracture and poor bone healing after fracture
  7.Central plasmacytoid chorioretinitis
  8, vegetative state
  9, plateau adaptation insufficiency
  10.Peripheral nerve injury
  11.Benign intracranial tumor postoperative
  12.Periodontal disease
  13.Viral encephalitis
  14.Facial neuritis
  15.Osteomyelitis
  16.Aseptic osteonecrosis
  17.Cerebral palsy
  18.Fetal intrauterine growth retardation
  19.Viral encephalitis
  20.Diabetes mellitus and diabetic foot
  21, coronary atherosclerotic heart disease (angina pectoris, myocardial infarction)
  22, tachyarrhythmia (atrial fibrillation, premature beats, tachycardia)
  23, myocarditis
  24, peripheral vascular disease (vasculitis, Raynaud’s disease, deep vein thrombosis, etc.)
  25.Vertigo sign
  26, chronic skin ulcers (arterial blood supply disorders, venous stasis, bedsores)
  27.Spinal cord injury
  28.Peptic ulcer
  29.Ulcerative colitis
  30.Infectious hepatitis (using special cabin for infectious diseases)
  31.Burn injury
  32.Frostbite
  33.After plastic surgery
  34.Post-implantation
  35.Sports injury
  36.Radiation injury (bone, soft tissue, cystitis)
  37.Malignant tumor (with radiotherapy or chemotherapy)
  38.Optical nerve injury
  39.Fatigue syndrome
  40.Vascular neuropathic headache
  41.Pustular rash
  42.Psoriasis
  43.Pityriasis rosea
  44.Multiple sclerosis
  45.Acute infectious polyradiculoneuritis
  46.Recurrent oral ulcers
  47.Paralytic intestinal obstruction
  48.Bronchial asthma
  49.Acute respiratory distress syndrome
  (Tip: for the above indications, some diseases hyperbaric oxygen can be used as the first choice of therapy, its main role, clinical efficacy is certain; some diseases hyperbaric oxygen can be used as one of the adjuvant treatment methods, can improve the efficacy; some diseases hyperbaric oxygen has certain efficacy, but further research is needed. Therefore, for each specific patient, the effectiveness of hyperbaric oxygen therapy needs to consult with a specialist physician).
  III. Absolute contraindications
  1.Untreated pneumothorax, mediastinal emphysema
  2.Large alveoli
  3.Active internal bleeding and hemorrhagic disease
  4.Tuberculous cavity formation and coughing up blood
  IV. Relative contraindications
  1.Severe upper respiratory tract infection
  2.Severe emphysema
  3.Bronchiectasis
  4.Severe sinusitis
  5.Atrioventricular block of more than II degree of heart
  6, High blood pressure (160/100mmHg)
  7.Bradycardia <50 beats/min
  8.Untreated malignant tumor
  9, retinal detachment
  10, early pregnancy (within three months)