Naval Hospital Guam, Agana Heights, Guam.
USS FRANK CABLE, Santa Rita, Guam.
Diving Hyperb Med. 2021 Mar 31;51(1):119-123. doi: 10.28920/dhm51.1.119-123.
Pulmonary barotrauma may occur in diving and can result in a spectrum of injuries referred to as pulmonary over-inflation syndrome (POIS). Pneumomediastinum is a part of the POIS spectrum and only rarely results in respiratory symptoms. We present a case of a civilian diver who developed pneumomediastinum with respiratory symptoms which did not respond to normobaric 100% oxygen. After investigation for pneumothorax, he underwent hyperbaric oxygen treatment which resulted in significant alleviation of his symptoms. This is a novel case example of this treatment algorithm.
肺气压伤可能发生在潜水时，可导致一系列被称为过度充气综合征（POIS）的损伤。纵隔气肿是 POIS 谱的一部分，很少导致呼吸症状。我们报告了一例平民潜水员发生纵隔气肿伴呼吸症状的病例，该症状对常压 100%氧气治疗无反应。在排除气胸后，他接受了高压氧治疗，症状明显缓解。这是该治疗方案的一个新的病例实例。
