Tseng Wei-Shih, Lee Hui-Chieh, Kang Bor-Hwang
Department of Diving and Hyperbaric Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Diving Hyperb Med. 2017 Sep;47(3):198-200. doi: 10.28920/dhm47.3.198-200.
Although periorbital emphysema (PE) is commonly associated with orbital fractures, it may develop without any fracture or significant trauma in circumstances such as post-surgery, infection, forceful nose blowing, sneezing, and weight lifting. We report on a healthy military diver who developed PE following a wet chamber dive. A diagnosis of PE secondary to sinus barotrauma was reached. He was treated conservatively without medication and his symptoms recovered completely within 10 days. To the best of our knowledge, only five cases of diving-related PE have been reported in the literature. Analysis of these cases and ours revealed that facial trauma, repeated forceful Valsalva manoeuvres and recent upper respiratory tract infection are probable risk factors for diving-related PE.
虽然眶周气肿（PE）通常与眼眶骨折有关，但在手术后、感染、用力擤鼻、打喷嚏和举重等情况下，即使没有任何骨折或严重创伤也可能发生。我们报告了一名健康的军事潜水员在湿式潜水舱潜水后发生眶周气肿的病例。诊断为鼻窦气压伤继发眶周气肿。他接受了保守治疗，未用药，症状在10天内完全恢复。据我们所知，文献中仅报道了5例与潜水相关的眶周气肿病例。对这些病例和我们的病例分析显示，面部创伤、反复用力瓦尔萨尔瓦动作和近期上呼吸道感染可能是与潜水相关的眶周气肿的危险因素。
