Göke M, Knittel T, Staritz M, Brost F, Röder R, Meyer zum Büschenfelde K H
I. Medizinische Klinik und Poliklinik, Universitätsklinikum, Mainz.
Dtsch Med Wochenschr. 1992 Nov 20;117(47):1798-802. doi: 10.1055/s-2008-1062512.
Two men (aged 37 years--patient 1, and 26 years--patient 2), both in good health, had dived as a sport to a depth of 40 and 45 m, respectively, reportedly keeping to the prescribed decompression times on their ascent. Patient 1 immediately developed shortness of breath and pain in the chest, later neurological deficits in both legs, as well as faecal and urinary incontinence. Examination 60 h later revealed paraparesis, increased leg proprioceptor reflexes and paraesthesia below the 10th thoracic vertebra, with abnormal posterior column function. After recompression (hyperbaric oxygenation, 6 treatment sessions of 4 h each over 8 days, as prescribed in US Navy Table No. 6) the signs improved and two months later there were no deficits. Patient 2 developed 30 min after a similar dive painful, doughy swellings and redness over the upper ventral half of the thorax and both upper arms. All signs and symptoms disappeared after recompression treatment (hyperbaric oxygenation for 3 h), begun 28 h after the dive. Previously elevated levels for haemoglobin (18.5 g/dl), haematocrit (0.56) and red blood corpuscles (5.98 x 10(6)/microliters) returned to normal. The described neurological abnormalities are typical for type II, redness and joint pains for type I decompression sickness.
两名健康男性（患者1，37岁；患者2，26岁）分别作为一项运动潜水至40米和45米深处，据报道他们在上升过程中遵守了规定的减压时间。患者1立即出现呼吸急促和胸痛，随后双腿出现神经功能缺损，以及大便和小便失禁。60小时后的检查显示双下肢轻瘫、腿部本体感觉反射增强以及第10胸椎以下感觉异常，后柱功能异常。经过再加压治疗（高压氧治疗，按照美国海军第6号表格规定，在8天内进行6次每次4小时的治疗），症状有所改善，两个月后没有出现功能缺损。患者2在类似潜水30分钟后，胸部上腹部和双上臂出现疼痛、面团样肿胀和发红。在潜水28小时后开始进行再加压治疗（高压氧治疗3小时），所有症状和体征均消失。之前升高的血红蛋白水平（18.5克/分升）、血细胞比容（0.56）和红细胞计数（5.98×10⁶/微升）恢复正常。所描述的神经异常是II型减压病的典型表现，发红和关节疼痛是I型减压病的表现。
