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一名截瘫潜水员的鞘内注射泵出现问题。

Problems with an intrathecal pump in a paraplegic scuba diver.

作者信息

Hacene Brahim, Draulans Nathalie, Theys Tom

机构信息

Corresponding author: Department of Physical and Rehabilitation Medicine, University Hospitals, Leuven, Belgium.

Department of Physical and Rehabilitation Medicine, University Hospitals Leuven, Belgium.

出版信息

Diving Hyperb Med. 2018 Jun 30;48(2):110-111. doi: 10.28920/dhm48.2.110-111.

DOI:10.28920/dhm48.2.110-111
PMID:29888384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6156822/
Abstract

Scuba diving with an intrathecal baclofen pump is encouraged for people with spinal cord injury who are suffering from spasticity. However, the diving depth is limited to 10 metres in this context. Proper physician and patient education in this respect is mandatory since non-compliance can lead to an irreversible loss of drug reservoir capacity due to collapse of the bottom shield. We report such an incident in a paraplegic diver diving to depths down to 30 metres' water.

摘要

对于患有痉挛的脊髓损伤患者,鼓励其带着鞘内注射巴氯芬泵进行水肺潜水。然而,在这种情况下潜水深度限制在10米。在这方面,必须对医生和患者进行适当的教育,因为不遵守规定可能会因底部护罩塌陷而导致药物储存器容量不可逆转地丧失。我们报告了一名截瘫潜水员潜水至水下30米深处时发生的此类事件。

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本文引用的文献

1
Permanent mechanical deformation of an intrathecal baclofen pump secondary to scuba diving: a case report.潜水导致鞘内巴氯芬泵出现永久性机械变形:病例报告。
Spinal Cord. 2013 Nov;51(11):868-9. doi: 10.1038/sc.2013.43. Epub 2013 May 21.
2
International standards for neurological classification of spinal cord injury (revised 2011).脊髓损伤神经学分类国际标准(2011年修订)
J Spinal Cord Med. 2011 Nov;34(6):535-46. doi: 10.1179/204577211X13207446293695.
3
Scuba diving for the handicapped.为残障人士提供的水肺潜水活动。
West J Med. 1988 Aug;149(2):204-5.
4
Effects of hyperbaric exposures on cardiac pacemakers.高压暴露对心脏起搏器的影响。
Br J Sports Med. 2008 Mar;42(3):212-6; discussion 216. doi: 10.1136/bjsm.2007.039552. Epub 2007 Sep 3.
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The use of hydrotherapy for the management of spasticity.水疗法在痉挛管理中的应用。
Neurorehabil Neural Repair. 2004 Dec;18(4):268-73. doi: 10.1177/1545968304270002.
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Cardiac pacing under hyperbaric conditions.高压环境下的心脏起搏
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