Edmonds Carl
Foundation President and a Life Member of SPUMS, Ocean Royale 11/69-74 North Steyne, Manly, NSW 2095, Australia, Phone: +61-(0)2-9976-5556, E-mail:
Diving Hyperb Med. 2009 Dec;39(4):226-31.
The literature on scuba divers' pulmonary oedema (SDPE) is reviewed, especially in its relationship to other immersioninduced pulmonary oedemas. It is concluded that although the three forms induced by swimming, freediving and scuba diving have some features in common, there are significant differences in their demographics, causation and clinical management. The swimming-induced cases tend to be young and fit, but exposed to excessive exertion. The freedivers experience extreme breath-holding and barotraumatic influences. The scuba divers are an older group and may have preexisting or occult cardiovascular disease. Although the first-aid treatments may be similar, subsequent investigations and preventative measures will differ considerably.
本文综述了关于水肺潜水员肺水肿（SDPE）的文献，尤其关注其与其他 immersion-induced pulmonary oedemas 的关系。研究得出结论，尽管游泳、自由潜水和水肺潜水引发的三种肺水肿形式有一些共同特征，但在人口统计学、病因和临床管理方面存在显著差异。游泳引发的病例往往是年轻且健康的，但过度劳累。自由潜水者会经历极端屏气和气压创伤影响。水肺潜水者年龄较大，可能已有或隐匿存在心血管疾病。虽然急救治疗可能相似，但后续调查和预防措施将有很大不同。 （注：immersion-induced pulmonary oedemas 此处原文表述有误，推测可能是 immersion-induced pulmonary edema，意为浸没性肺水肿 ）
