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潜水对血友病患来说是可行且安全的。

Scuba diving is possible and safe for patients with haemophilia.

机构信息

Hemophilia Treatment Center, Montpellier University Hospital, Montpellier, France.

出版信息

Haemophilia. 2012 Jan;18(1):75-9. doi: 10.1111/j.1365-2516.2011.02541.x. Epub 2011 Apr 28.

Abstract

For a long time, physical activities have been contraindicated in haemophiliacs or were restricted to few activities. Sports are nowadays advocated for haemophiliacs. Although various lists of physical activities have been proposed, scuba diving is never mentioned. Thus, with a group of haemophilic volunteers, a study was launched on whether, with strict medical follow-up, scuba diving could be allowed for patients with haemophilia. All the participants followed a training program including theory and assessment. In 6 years, a total of 517 dives were performed by 20 patients with congenital bleeding disorders. Nine were under prophylaxis for haemophilia, and nine received on-demand treatment. Two patients had type I von Willebrand's disease. Among the 20 patients, 12 made 12-153 dives, whereas six made eight dives each. No incident was noted during or after the dives. Thus, scuba diving can be authorized for PWH, if they have none of the specific medical contraindications for diving and if they have received medical training allowing them to manage their disease themselves.

摘要

长期以来,血友病患者被禁止进行体育活动或只能进行少数几种体育活动。如今,提倡血友病患者进行体育活动。尽管已经提出了各种体育活动清单,但潜水从未被提及。因此,我们与一组血友病志愿者合作,研究在严格的医学随访下,潜水是否可以允许血友病患者进行。所有参与者都参加了包括理论和评估在内的培训计划。在 6 年的时间里,20 名先天性出血性疾病患者共进行了 517 次潜水。9 名患者接受血友病预防治疗,9 名患者接受按需治疗。有 2 名患者患有 I 型血管性血友病。在这 20 名患者中,有 12 名患者进行了 12-153 次潜水,而有 6 名患者各进行了 8 次潜水。潜水过程中和潜水后均未发生任何意外。因此,如果 PWH 没有潜水的特定医学禁忌症,并且接受了可以让他们自行管理疾病的医学培训,那么可以授权他们进行水肺潜水。

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