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潜水减压病是潜水作业时不规范的减压上浮引起的疾病。自2004年1月至2006年10月,我科共收治减压病患者71例,经高压氧治疗疗效满意。现介绍如下。1资料与方法1.1临床资料本组71例均为男性,年龄25～52岁,平均年龄34±8.7岁。均为从事深水扑捞、抢险、维修等潜水作业。潜龄2个月～20年,下潜深度为30米～60米,单次水下停留时间0.5～1.5小时,下水时间多为傍晚至凌晨。从发病到接受高压氧治疗时间为6～48小时。按Kindwall病情分型,Ⅰ型(轻型)59例,Ⅱ型(重型)12例。1.2治疗方案采用我国空气潜水减压病加压治疗表,根据下潜深度及症状,40例采用Ⅳ氧(5ATA),31例采用Ⅴ氧(6ATA) 1.3疗效标准参考中国人民解放军总后勤部卫生部1987年《临床疾病诊断根据治愈好转标准》制定的疗效标准。
Diving decompression sickness is caused by the non-standard decompression floating disease caused by diving operations. From January 2004 to October 2006, our department received a total of 71 patients with decompression sickness, hyperbaric oxygen therapy was satisfactory. Now introduced as follows. 1 Materials and Methods 1.1 Clinical data The group of 71 patients were male, aged 25 to 52 years, mean age 34 ± 8.7 years. Are engaged in deep water fishing, rescue, maintenance and other diving operations. Aging age of 2 months to 20 years, the dive depth of 30 meters to 60 meters, a single underwater dwell time of 0.5 to 1.5 hours, mostly in the evening into the water into the early morning. From onset to hyperbaric oxygen therapy for 6 to 48 hours. According to Kindwall’s condition, 59 cases were type I (light) and 12 cases were type II (heavy). 1.2 treatment options using our air diving decompression sickness treatment table, according to the dive depth and symptoms, 40 cases with Ⅳ oxygen (5ATA), 31 cases with Ⅵ oxygen (6ATA) 1.3 efficacy standard reference PLA General Logistics Department of Health Department of 1987 “clinical diagnosis of the disease according to improve the standard of cure,” the development of standards of efficacy.