潜艇脱险教员的减压性骨坏死筛查
Dysbaric osteonecrosis screening in submarine escape instructors.
作者信息
Yildiz Senol, Cimsit Cagatay, Toklu Akin Savas, Cimsit Maide
机构信息
Gülhane Military Medical Academy Haydarpasa Training Hospital, Department of Underwater and Hyperbaric Medicine, Istanbul, Turkey.
出版信息
Aviat Space Environ Med. 2004 Aug;75(8):673-5.
INTRODUCTION
Dysbaric osteonecrosis (DON) is an avascular bone necrosis that can be seen in divers and compressed air workers. Submarine escape instructors constitute a specific group who are exposed to hyperbaric conditions with a constant profile.
METHODS
We screened 21 Turkish Navy submarine escape instructors and evaluated 147 skeletal radiographs for dysbaric osteonecrosis. Two instructors who had suspicious DON lesions on the X-rays underwent examination by MRI of the suspected sites.
RESULTS
We found no evidence of DON in the radiographs and MRIs of the submarine escape instructors.
DISCUSSION
We concluded that the risk of DON is very low for submarine escape instructors who work at the Submarine Escape Training Tower (SETT) at a depth of 60 ft and who strictly obey the decompression rules.
引言
减压性骨坏死（DON）是一种可在潜水员和压缩空气作业工人中见到的缺血性骨坏死。潜艇逃生教员是一个特殊群体，他们持续暴露于特定的高压环境中。
方法
我们对21名土耳其海军潜艇逃生教员进行了筛查，并评估了147张骨骼X光片以检测减压性骨坏死。两名X光片上有可疑DON病变的教员对疑似部位进行了MRI检查。
结果
我们在潜艇逃生教员的X光片和MRI检查中未发现DON的证据。
讨论
我们得出结论，对于在60英尺深度的潜艇逃生训练塔（SETT）工作且严格遵守减压规则的潜艇逃生教员而言，DON的风险非常低。
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