Davis J C, Sheffield P J, Schuknecht L, Heimbach R D, Dunn J M, Douglas G, Anderson G K
Aviat Space Environ Med. 1977 Aug;48(8):722-30.
Most cases of decompression sickness that occur at altitude resolve upon descent to lower altitudes. Before the use of hyperbaric therapy, cases that did not resolve accounted for some of the most difficult medical management problems in military aerospace medicine. On 27 March, 1941, the U.S. Navy Diving School successfully used hyperbaric therapy for a case of altitude-induced decompression sickness that did not resolve on return to ground level. Since then, over 145 such cases have been treated by hyperbaric therapy. At first, treatments involved using compressed air, with varying success. Current medical management of altitude-induced decompression sickness requires immediate compression to 2.8 ATA, equivalent to 60 ft of sea water (FSW) pressure, and a series of intermittent oxygen and air breathing periods during the subsequent slow decompression to surface. This report confirms the treatment recommendations set forth by Behnke and Downey, and crystallized by Goodman in 1964. Conclusions are based on treatment experience in the management of 120 cases in U.S. Air Force hyperbaric chambers, and a survey of hyperbaric facilities which have treated 25 other cases.
大多数在高空发生的减压病病例在下降到较低海拔后会自行缓解。在高压氧治疗应用之前，未能缓解的病例是军事航空航天医学中一些最棘手的医疗管理问题。1941年3月27日，美国海军潜水学校成功地对一例返回地面后仍未缓解的高空减压病病例采用了高压氧治疗。从那时起，已有超过145例此类病例接受了高压氧治疗。起初，治疗采用压缩空气，效果不一。目前对高空减压病的医疗管理要求立即将压力升至2.8ATA，相当于60英尺海水（FSW）压力，并在随后缓慢减压至水面的过程中进行一系列间歇性吸氧和呼吸空气阶段。本报告证实了Behnke和Downey提出并由Goodman在1964年明确的治疗建议。结论基于美国空军高压氧舱对120例病例的治疗经验，以及对治疗其他25例病例的高压氧设施的调查。
