Tlapák Jakub, Oniščenko Boris, Došel Petr, Požár Pavel, Chmátal Petr, Hájek Michal
The Institute of Aviation Medicine, Prague, Czech Republic.
Department of Military Surgery, Faculty of Military Health Sciences, University of Defence, Hradec Kralove, Czech Republic.
BMC Pulm Med. 2020 Nov 9;20(1):291. doi: 10.1186/s12890-020-01321-5.
Pneumothorax as a consequence of pulmonary barotrauma during explosive decompression military crew training in a hypobaric chamber is an extremely rare and sparsely diagnosed complication. Extensive bilateral tissue damage is even more unexpected.
A 26-year-old active duty Air Force pilot was performing an explosive decompression simulation from 8000 ft. (2438.4 m) to 25,000 ft. (7620 m) in a 1.5 s interval. The training was interrupted due to the pilot's apparent health complications. After transfer to the emergency department, a CT scan showed bilateral lung barotrauma with emphysema.
The case report shows extensive emphysema and pneumothorax after a rapid decompression done for training purposes. It is a possible but rare complication. The cause remains unclear, with suspicion of a predisposed lung disease.
在低压舱进行爆炸性减压军事人员训练期间，因肺气压伤导致的气胸是一种极其罕见且诊断稀少的并发症。广泛的双侧组织损伤更是出乎意料。
一名26岁现役空军飞行员在1.5秒内从8000英尺（2438.4米）进行到25000英尺（7620米）的爆炸性减压模拟。由于飞行员明显的健康并发症，训练中断。转至急诊科后，CT扫描显示双侧肺气压伤合并肺气肿。
该病例报告显示了为训练目的进行快速减压后出现广泛的肺气肿和气胸。这是一种可能但罕见的并发症。病因尚不清楚，怀疑存在易患的肺部疾病。
