减压病的最新进展。

Updates in Decompression Illness.

作者信息

Pollock Neal W, Buteau Dominique

机构信息

Department of Kinesiology, Université Laval, PEPS Building, 2300 rue de la Terrasse, Quebec City, Quebec G1V 0A6, Canada; Department of Medical Research, Divers Alert Network, 6 West colony place, Durham, NC 27705, USA; CISSS Chaudière-Appalaches (CHAU-Hôtel-Dieu de Lévis), Hyperbaric Medicine Unit, Emergency Department, 143 rue Wolfe, Lévis, Quebec G6V 3Z1, Canada.

CISSS Chaudière-Appalaches (CHAU-Hôtel-Dieu de Lévis), Hyperbaric Medicine Unit, Emergency Department, 143 rue Wolfe, Lévis, Quebec G6V 3Z1, Canada; Family Medicine and Emergency Medicine Department, School of Medicine, Université Laval, Quebec City, Quebec, G1V 0A6 Canada.

出版信息

Emerg Med Clin North Am. 2017 May;35(2):301-319. doi: 10.1016/j.emc.2016.12.002. Epub 2017 Mar 15.

DOI:10.1016/j.emc.2016.12.002

PMID:28411929

Abstract

Decompression sickness and arterial gas embolism, collectively known as decompression illness (DCI), are rare but serious afflictions that can result from compressed gas diving exposures. Risk is primarily determined by the pressure-time profile but is influenced by several factors. DCI can present idiosyncratically but with a wide range of neurologic symptoms. Examination is critical for assessment in the absence of diagnostic indicators. Many conditions must be considered in the differential diagnosis. High-fraction oxygen breathing provides first aid but definitive treatment of DCI is hyperbaric oxygen.

摘要

减压病和动脉气体栓塞统称为减压病（DCI），是由压缩气体潜水暴露引起的罕见但严重的疾病。风险主要由压力-时间曲线决定，但受多种因素影响。DCI可能表现出个体差异，但会出现广泛的神经系统症状。在没有诊断指标的情况下，检查对于评估至关重要。鉴别诊断时必须考虑许多情况。高浓度吸氧可提供急救，但DCI的确定性治疗是高压氧治疗。