Viecelli Andrea, Jamboti Jagadish, Waring Andrew, Banham Neil, Ferrari Paolo
Department of Nephrology , Fremantle Hospital , Perth, WA , Australia.
Department of Nephrology , Fremantle Hospital , Perth, WA , Australia ; School of Medicine and Pharmacology , University of Western Australia , Perth, WA , Australia.
Clin Kidney J. 2014 Aug;7(4):380-2. doi: 10.1093/ckj/sfu048. Epub 2014 May 27.
Decompression illness is a rare but serious complication of diving caused by intravascular or extravascular gas bubble formation. We report the first case of acute kidney injury in a 27-year-old diver following three rapid ascents. He presented with transient neurological symptoms and abdominal pain followed by rapidly progressive acute kidney injury (creatinine peak 1210 µmol/L) due to arterial air emboli. He received supportive care and 100% oxygen followed by hyperbaric therapy and recovered fully. Arterial air emboli caused by rapid decompression can affect multiple organs including the kidneys. Early transfer to a hyperbaric unit is important as complications may present delayed.
减压病是潜水运动中一种罕见但严重的并发症，由血管内或血管外气泡形成引起。我们报告首例27岁潜水员在三次快速上升后发生急性肾损伤的病例。他最初出现短暂的神经症状和腹痛，随后因动脉空气栓塞迅速进展为急性肾损伤（肌酐峰值1210µmol/L）。他接受了支持治疗和100%氧气治疗，随后进行高压治疗并完全康复。快速减压引起的动脉空气栓塞可影响包括肾脏在内的多个器官。早期转至高压治疗科室很重要，因为并发症可能延迟出现。
