Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX 78234, USA.
Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, WA 98431, USA.
Mil Med. 2022 Aug 25;187(9-10):e1233-e1235. doi: 10.1093/milmed/usab046.
Breath-hold diving is a common practice as a part of military dive training. An association between prior lung injury and a propensity for lung barotrauma may have the potential to impact mission readiness for combat divers, Pararescue, Combat Controllers, Army Engineer divers, and various units in Naval Special Warfare and Special Operations. Barotrauma is a common complication of diving, typically occurring at depths greater than 30 m (98.4 ft). Individuals with abnormal lung anatomy or function may be at increased risk of barotrauma at shallower depths than those with healthy lungs, rendering these service members unfit for certain missions. We describe the case of a 25-year-old male, with a remote history of polytrauma and resultant pulmonary pleural adhesions, whose dive training was complicated by lung barotrauma at shallow depths. In missions or training utilizing breath-hold diving, the association with secondary alterations in lung or thoracic anatomy and function may limit which service members can safely participate.
屏气潜水是军事潜水训练的常见内容。先前的肺部损伤与肺部气压伤易发性之间的关联可能会对作战潜水员、伞兵、战斗控制员、陆军工兵潜水员以及海军特种作战和特种作战部队的各种单位的任务准备情况产生影响。气压伤是潜水的常见并发症，通常发生在 30 米（98.4 英尺）以上的深度。肺部解剖结构或功能异常的个体可能比肺部健康的个体在较浅的深度下更容易发生气压伤，从而使这些现役军人不适合执行某些任务。我们描述了一名 25 岁男性的病例，该患者有多处创伤的既往病史和由此导致的肺胸膜粘连，其潜水训练在较浅的深度出现了肺部气压伤。在使用屏气潜水的任务或训练中，与肺部或胸部解剖结构和功能的继发性改变相关联，可能会限制哪些现役军人可以安全参与。
