Adir Yochai, Bove Alfred A
Pulmonary Division, Lady Davis Carmel Medical Center, Faculty of Medicine, The Technion, Institute of Technology, Haifa, Israel
Cardiology Section, Dept of Medicine, Temple University School of Medicine, Philadelphia, PA, USA.
Eur Respir Rev. 2016 Jun;25(140):214-20. doi: 10.1183/16000617.0006-2016.
Recreational diving with self-contained underwater breathing apparatus (scuba) has grown in popularity. Asthma is a common disease with a similar prevalence in divers as in the general population. Due to theoretical concern about an increased risk for pulmonary barotrauma and decompression sickness in asthmatic divers, in the past the approach to asthmatic diver candidates was very conservative, with scuba disallowed. However, experience in the field and data in the current literature do not support this dogmatic approach. In this review the theoretical risk factors of diving with asthma, the epidemiological data and the recommended approach to the asthmatic diver candidate will be described.
使用自给式水下呼吸器(水肺)进行休闲潜水越来越受欢迎。哮喘是一种常见疾病,在潜水员中的患病率与普通人群相似。由于理论上担心哮喘潜水员发生肺气压伤和减压病的风险增加,过去对于哮喘潜水员候选人的处理方法非常保守,禁止使用水肺潜水。然而,该领域的经验和当前文献中的数据并不支持这种教条式的方法。在这篇综述中,将描述哮喘患者潜水的理论风险因素、流行病学数据以及针对哮喘潜水员候选人的推荐处理方法。