辅助高压氧治疗四级冻伤：来自澳大利亚塔斯马尼亚的案例研究和简短讨论。

IF 1.1 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Wilderness & Environmental Medicine Pub Date : 2025-08-25 DOI:10.1177/10806032251368760

Graham Stevens

{"title":"辅助高压氧治疗四级冻伤：来自澳大利亚塔斯马尼亚的案例研究和简短讨论。","authors":"Graham Stevens","doi":"10.1177/10806032251368760","DOIUrl":null,"url":null,"abstract":"This case study describes adjunctive hyperbaric oxygen treatment (HBOT) of grade 3-4 frostbite, along with vasodilators and rheological agents. The patient in this study presented with established frostbite 3 days after an 11-day walk in cold, snowy, wet conditions in Tasmania, Australia. Hyperbaric oxygen treatment in this case seemed to reduce the penumbra of ischemia in both feet and thus possibly reduced the level of joint amputation in the toes. If available, HBOT is an adjuvant option for the treatment of frostbite, along with the more established treatments. More studies, however, are required to establish the best protocol for the use of HBOT in this circumstance, as this is currently unknown.","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251368760"},"PeriodicalIF":1.1000,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Adjunctive Hyperbaric Oxygen Treatment for Grade-Four Frostbite: A Case Study and Short Discussion From Tasmania, Australia.\",\"authors\":\"Graham Stevens\",\"doi\":\"10.1177/10806032251368760\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"This case study describes adjunctive hyperbaric oxygen treatment (HBOT) of grade 3-4 frostbite, along with vasodilators and rheological agents. The patient in this study presented with established frostbite 3 days after an 11-day walk in cold, snowy, wet conditions in Tasmania, Australia. Hyperbaric oxygen treatment in this case seemed to reduce the penumbra of ischemia in both feet and thus possibly reduced the level of joint amputation in the toes. If available, HBOT is an adjuvant option for the treatment of frostbite, along with the more established treatments. More studies, however, are required to establish the best protocol for the use of HBOT in this circumstance, as this is currently unknown.\",\"PeriodicalId\":49360,\"journal\":{\"name\":\"Wilderness & Environmental Medicine\",\"volume\":\" \",\"pages\":\"10806032251368760\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-08-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Wilderness & Environmental Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10806032251368760\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wilderness & Environmental Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10806032251368760","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

摘要

本案例研究描述了3-4级冻伤的辅助高压氧治疗（HBOT），以及血管扩张剂和流变剂。在这项研究中，患者在澳大利亚塔斯马尼亚州寒冷、多雪、潮湿的条件下行走11天后，出现了冻伤。在这种情况下，高压氧治疗似乎减少了双脚缺血的半暗区，从而可能减少了脚趾关节截肢的程度。如果可用，HBOT是治疗冻伤的辅助选择，以及更成熟的治疗方法。然而，需要更多的研究来建立在这种情况下使用HBOT的最佳方案，因为这是目前未知的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Adjunctive Hyperbaric Oxygen Treatment for Grade-Four Frostbite: A Case Study and Short Discussion From Tasmania, Australia.

This case study describes adjunctive hyperbaric oxygen treatment (HBOT) of grade 3-4 frostbite, along with vasodilators and rheological agents. The patient in this study presented with established frostbite 3 days after an 11-day walk in cold, snowy, wet conditions in Tasmania, Australia. Hyperbaric oxygen treatment in this case seemed to reduce the penumbra of ischemia in both feet and thus possibly reduced the level of joint amputation in the toes. If available, HBOT is an adjuvant option for the treatment of frostbite, along with the more established treatments. More studies, however, are required to establish the best protocol for the use of HBOT in this circumstance, as this is currently unknown.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Wilderness & Environmental Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.10

自引率

7.10%

发文量

审稿时长

>12 weeks

期刊介绍： Wilderness & Environmental Medicine, the official journal of the Wilderness Medical Society, is the leading journal for physicians practicing medicine in austere environments. This quarterly journal features articles on all aspects of wilderness medicine, including high altitude and climbing, cold- and heat-related phenomena, natural environmental disasters, immersion and near-drowning, diving, and barotrauma, hazardous plants/animals/insects/marine animals, animal attacks, search and rescue, ethical and legal issues, aeromedial transport, survival physiology, medicine in remote environments, travel medicine, operational medicine, and wilderness trauma management. It presents original research and clinical reports from scientists and practitioners around the globe. WEM invites submissions from authors who want to take advantage of our established publication''s unique scope, wide readership, and international recognition in the field of wilderness medicine. Its readership is a diverse group of medical and outdoor professionals who choose WEM as their primary wilderness medical resource.