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潜水员的肺功能。

Lung function in divers.

机构信息

Department of Maritime and Hyperbaric Medicine, Military Institute of Medicine, Gdynia, Poland.

出版信息

Adv Exp Med Biol. 2013;788:221-7. doi: 10.1007/978-94-007-6627-3_32.

Abstract

Correct lung function is indispensible to perform work underwater. Thus, spirometric tests of lung function remain an important element in the process of selecting candidates for professional diving. Studies conducted in the population of divers identified the phenomenon called 'large lungs', which is often associated with spirometric indices characteristic of obstructive impairment of lung function. This study investigated selected parameters of lung function in the population of divers and candidates for professional divers. Fifty two male subjects were examined as part of the selection process. Basic spirometric tests: forced expiratory volume in 1 s (FEV1; dm(3)), forced vital capacity (FVC; dm(3)), forced expiratory flow in the range 25-75 % of FVC (FEF25-75; dm(3) s(-1)), and FEV1/FVC (%) were compared with compared with the predicted reference values estimated by the European Coal and Steel Community. The results demonstrate differences in FVC and FEF25-75 in divers, which may correspond to functional hyperinflation. The effects of 'large lungs' observed in divers, if persisting for an extended period of time, may lead to lung ventilation impairment of the obstructive type.

摘要

正确的肺功能对于水下作业是不可或缺的。因此,肺功能的肺活量测定仍然是潜水员选拔过程中的一个重要因素。对潜水员人群的研究发现了一种称为“大肺”的现象,这通常与阻塞性肺功能障碍的肺活量测定指数有关。本研究调查了潜水员和专业潜水员候选人人群中的肺功能的选择参数。52 名男性受试者作为选拔过程的一部分接受了检查。基本的肺活量测定测试:1 秒用力呼气量(FEV1;dm(3))、用力肺活量(FVC;dm(3))、用力呼出量在 25%至 75%肺活量范围内的流速(FEF25-75;dm(3) s(-1))和 FEV1/FVC(%)与欧洲煤钢共同体估计的预测参考值进行了比较。结果表明,潜水员的 FVC 和 FEF25-75 存在差异,这可能与功能性过度充气相对应。如果“大肺”在潜水员中持续存在很长时间,可能会导致阻塞性类型的肺通气受损。

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