Adkisson G H, Meredith A P
Institute of Naval Medicine, Alverstoke, England.
Ann Otol Rhinol Laryngol. 1990 Sep;99(9 Pt 1):733-7. doi: 10.1177/000348949009900913.
Inner ear barotrauma with rupture of the round or oval window secondary to diving and decompression sickness (DCS) of the inner ear can be a difficult diagnosis to differentiate. The dive profile or associated elements of DCS will often confirm the diagnosis. Occasionally, diagnosis is made during recompression or during operation. The differential diagnosis is important, since immediate recompression is indicated for inner ear DCS, while it is contraindicated in cases of inner ear barotrauma. We have found no cases reported in the world literature in which both diseases have been diagnosed and proven simultaneously. We present a case of a diver who developed DCS with inner ear manifestations complicated by a round window fistula. Treatment and clinical outcome are discussed along with a brief review of the suspected cause.
内耳气压伤伴继发于潜水和内耳减压病（DCS）的圆窗或卵圆窗破裂可能是一种难以鉴别的诊断。潜水过程或DCS的相关因素通常有助于确诊。偶尔，诊断在再加压过程中或手术期间做出。鉴别诊断很重要，因为内耳DCS需要立即进行再加压治疗，而内耳气压伤则禁忌再加压。我们在世界文献中未发现同时诊断和证实这两种疾病的病例报告。我们报告一例潜水员发生伴有内耳表现的DCS并合并圆窗瘘的病例。本文讨论了治疗方法和临床结果，并简要回顾了可能的病因。
