Briceño-Souza Eduardo, Méndez-Domínguez Nina, Cárdenas-Dajdaj Ricardo, Chin Walter, Huchim-Lara Oswaldo
Universidad Marista de Mérida, Periférico Norte, 97300 Mérida, Yucatán, Mexico.
University of California, Los Angeles, Los Angeles, California U.S.
Undersea Hyperb Med. 2019;46:217-220.
Diving as a method of fishing is used worldwide in small-scale fisheries. However, one of the main causes of morbidity and mortality among fishermen is decompression sickness (DCS). We report the case of a 46-year-old male fisherman diver who presented with chronic inguinal pain that radiated to the lower left limb. Living and working in a fishing port in Yucatan, he had a prior history of DCS. A diagnosis of avascular necrosis in the left femoral head secondary to DCS was made via analysis of clinical and radiological findings. The necrosis was surgically resolved by a total hip arthroplasty. Dysbaric osteonecrosis is a more probable diagnosis. In this region fishermen undergo significant decompression stress in their daily fishing efforts. Further studies regarding prevalence of dysbaric osteonecrosis among small-scale fisheries divers are needed. In a community where DCS is endemic and has become an epidemic, as of late, the perception of this health risk remains low. Furthermore, training and decompression technique are lacking among the fishing communities.
潜水捕鱼作为一种捕鱼方式在全球小规模渔业中广泛使用。然而，渔民发病和死亡的主要原因之一是减压病（DCS）。我们报告了一名46岁男性渔民潜水员的病例，他表现为慢性腹股沟疼痛并向左下肢放射。他生活和工作在尤卡坦的一个渔港，既往有减压病病史。通过临床和影像学检查结果分析，诊断为减压病继发左侧股骨头缺血性坏死。坏死通过全髋关节置换术得到手术解决。气压性骨坏死是更可能的诊断。在该地区，渔民在日常捕鱼作业中承受着巨大的减压压力。需要进一步研究小规模渔业潜水员中气压性骨坏死的患病率。在一个减压病流行且近来已成为一种流行病的社区，对这种健康风险的认知仍然很低。此外，捕鱼社区缺乏培训和减压技术。
