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患者丛某,男,45岁,系某海产品养殖场潜水员,于1990年6月16号,着十二螺栓通风式潜水装具,潜入水深32~45m的海底,进行水下作业,上午反复潜水两次,下午潜水1次。每次在水下停留时间均超过2h,出水时多从深水处潜向浅水处再上升出水,均未按规定减压出水。下午的一次潜水从32 m深处下潜,走至45m水深处进行作业,在水下停留2.5h后作业完毕,从45m水深处未减压直接出水。出水后2min(未卸完装具)。自述头昏、胸闷、随即倒地昏迷,叫之不应,失去知觉。快速卸完装后,约1.5h送至我处。查体:神志昏迷、呼吸弱、脉搏弱,120次/min,血压6.6kpa(50mmHg),因情况紧急未做其他检查,随即送进加压舱加压治疗。治疗:进入加压舱后快速升压到0.5mpa(6ATA)处,患者此时呼吸幅度较前增大,脉搏较前有力。停留15min后,叫之能应,但不能正确回答问题,
Patient Congmou, male, 45 years old, was a diver from a marine farm. On June 16, 1990, a twelve-bolt ventilated diving gear was used to dive into the seabed at a depth of 32-45m for underwater operations. In the morning, repeated diving Dive twice in the afternoon and once in the afternoon. Each stay time in the water are more than 2h, when the water from the deep water at the potential shallow water and then rise in water, were not required to decompression water. In the afternoon, a dive diveped from a depth of 32 m and proceeded to work at a depth of 45m. After staying underwater for 2.5h, the operation was completed and water was directly discharged from the depth of 45m without decompression. 2min after the water (not finished unloading equipment). Readme dizziness, chest tightness, then fell unconscious, should not be called, loss of consciousness. Quick unloading finished loading, about 1.5h sent to my office. Examination: conscious coma, weak breathing, pulse weak, 120 beats / min, blood pressure 6.6kpa (50mmHg), due to emergency did not make other tests, then sent to the pressurized chamber pressure treatment. Treatment: rapid pressure into the pressurized chamber to 0.5mpa (6ATA) Department, the patient at this time increased respiratory rate than before, the pulse more powerful. Stay after 15min, called it should, but can not answer the question correctly,