Beckman T J, Mullins M E, Matthews M D
Naval Medical Clinic, Pearl Harbor, Hawaii 96860-5080, USA.
Undersea Hyperb Med. 1996 Dec;23(4):243-5.
A 33-yr-old man came to the emergency department with the chief complaint of a severe headache and decreased sensation in his right hand following a deep dive on scuba. Physical examination before recompression treatment was remarkable only for hypesthesia on the right hand. We diagnosed type II decompression sickness and the patient underwent standard recompression therapy. The patient experienced near-complete resolution of his symptoms, his only residual complaint being that of neck pain with head movement. To investigate other causes of headache, a computed tomography of the head was performed which was normal, and a lumbar puncture was performed which was consistent with viral meningitis. This is the first reported case of recompression treatment on a patient with viral meningitis and decompression sickness.
一名33岁男性因在水肺深潜后出现严重头痛和右手感觉减退为主诉来到急诊科。在进行再加压治疗前的体格检查仅发现右手感觉减退。我们诊断为II型减压病,患者接受了标准的再加压治疗。患者症状几乎完全缓解,唯一残留的主诉是头部活动时颈部疼痛。为了探究头痛的其他原因,进行了头部计算机断层扫描,结果正常,还进行了腰椎穿刺,结果与病毒性脑膜炎相符。这是首例关于对患有病毒性脑膜炎和减压病的患者进行再加压治疗的报道病例。