Detroit Receiving Hospital, Detroit Medical Center, Wayne State University, Detroit, Michigan U.S.
Medical Services Department, Divers Alert Network, Durham, North Carolina U.S.
Undersea Hyperb Med. 2020 Fourth Quarter;47(4):551-554. doi: 10.22462/10.12.2020.3.
With the increasing popularity of recreational scuba diving, rare complications are becoming more commonly encountered. Although diving is generally safe, novice divers may be unfamiliar with the potential hazards of scuba diving and the resulting sequelae. Dive-related injuries are commonly due to barotrauma or from breathing gas at increased pressures, resulting in decompression illness (DCI), a term that includes both decompression sickness (DCS) and arterial gas embolism (AGE). Symptoms can range from minor aches and pains to neurologic or cardiopulmonary complications resulting in death. Clinical symptoms and diagnosis may initially go unrecognized and can present in a delayed manner, often remote to the diving location. When DCI is suspected standard treatment with hyperbaric oxygen (HBO2) therapy should be considered immediately. Current literature questions the efficacy of delayed HBO2 therapy longer than 24-48 hours after symptom onset. Here we present a case of two divers who simultaneously experienced DCS and were both successfully treated after receiving delayed HBO2 therapy nearly eight days after initiation of symptoms.
随着休闲水肺潜水的日益普及，罕见的并发症也越来越常见。尽管潜水通常是安全的，但新手潜水员可能不熟悉水肺潜水的潜在危险和由此产生的后果。潜水相关的伤害通常是由于气压伤或呼吸高压气体引起的减压病（DCI），这一术语包括减压病（DCS）和动脉气体栓塞（AGE）。症状从轻微的疼痛到神经或心肺并发症，导致死亡。临床症状和诊断最初可能未被识别，并以延迟的方式出现，通常远离潜水地点。当怀疑有减压病时，应立即考虑标准的高压氧（HBO2）治疗。目前的文献质疑症状发作后超过 24-48 小时进行延迟 HBO2 治疗的疗效。在这里，我们介绍了两名潜水员同时发生减压病的病例，他们在症状发作近 8 天后接受延迟 HBO2 治疗后均成功治愈。
