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严重压缩空气减压病的氮氧饱和治疗

Nitrogen-oxygen saturation therapy in serious cases of compressed-air decompression sickness.

作者信息

Miller J N, Fagraeus L, Bennett P B, Elliott D H, Shields T G, Grimstad J

出版信息

Lancet. 1978 Jul 22;2(8082):169-71. doi: 10.1016/s0140-6736(78)91917-7.

DOI:10.1016/s0140-6736(78)91917-7
PMID:78380
Abstract

Decompression sickness and arterial air embolism which follow exposure to raised environmental pressures of compressed air are usually adequately treated by accepted recompression procedures of relatively short durations. With serious cases, however, conventional treatment may not allow sufficient time at depth for the complete resolution of manifestations because of the need to avoid pulmonary oxygen toxicity which is associated with a prolonged period of breathing compressed air. Treatment by nitrogen-oxygen saturation at a pressure equivalent of 30 m (100 ft) sea water is proposed. Based upon the success of three refractory cases treated by this procedure, recommendation are made for the conversion of standard compressed-air chambers into an emergency saturation mode for therapy.

摘要

减压病和动脉空气栓塞是在暴露于压缩空气的升高环境压力后发生的,通常通过持续时间相对较短的公认再压缩程序进行充分治疗。然而,对于严重病例,由于需要避免与长时间呼吸压缩空气相关的肺氧中毒,传统治疗可能无法在深度提供足够的时间来使症状完全消退。有人提出在相当于30米(100英尺)海水的压力下进行氮氧饱和治疗。基于用该程序治疗的三例难治性病例的成功,建议将标准压缩空气舱转换为紧急饱和模式进行治疗。

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引用本文的文献

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Treatment of compressed-air decompression accidents.压缩空气减压事故的治疗。
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