Division of Hyperbaric Medicine, Intermountain Medical Center, Murray, Utah and LDS Hospital, Salt Lake City, Utah, U.S.
Department of Medicine, University of Utah School of Medicine, Salt Lake City, Utah U.S.
Undersea Hyperb Med. 2022 Third Quarter;49(3):289-293.
Decompression sickness (DCS) is a known complication of scuba diving. DCS occurs when bubbles are formed as pressure is reduced during and after ascent from a dive, following inert gas uptake during the dive. The bubbles cause inflammation and hypoxia. The definitive treatment for decompression sickness is hyperbaric oxygen therapy. We present a case of a healthy 16-year-old male who presented with decompression sickness and an incidental pulmonary cyst discovered by chest CT, likely congenital. The patient was successfully treated with U.S. Navy Treatment Table 6 (TT6) for his decompression sickness, but he continued to have chest pain, requiring hospitalization and consultation with pediatric pulmonology and cardiothoracic surgery from the cyst. Three years later he complained of chest pain with changes in altitude. Chest CT showed persistence of this cyst, and additional cysts. Case conference with pulmonologists and chest radiologist could not offer a definite etiology without lung biopsy, felt to not be indicated. We believe that the changes in pressure/volumes during the dives and TT6 exacerbated his pulmonary cyst.
减压病(DCS)是水肺潜水的已知并发症。减压病发生在潜水过程中以及潜水后上升过程中压力降低时，由于吸入惰性气体而形成气泡，气泡会引起炎症和缺氧。减压病的明确治疗方法是高压氧治疗。我们报告了一个健康的 16 岁男性病例，他在潜水后出现减压病和胸部 CT 发现的意外肺囊肿，可能是先天性的。患者成功地接受了美国海军治疗表 6(TT6)治疗减压病，但他仍有胸痛，需要住院治疗，并接受儿科肺病学和心胸外科的咨询，以解决囊肿问题。三年后，他抱怨随着海拔变化出现胸痛。胸部 CT 显示该囊肿和其他囊肿仍存在。与肺病专家和胸部放射科医生进行病例会议后，由于未进行肺活检，无法确定病因，认为这不合适。我们认为潜水时的压力/容积变化和 TT6 加重了他的肺囊肿。
