加压治疗(包括高压氧治疗)是迄今对减压病最有效的治疗方法。然而,实践证明单纯依靠加压治疗,对于严重的减压病例,常常难以获得痊愈。其原因是加压治疗只能排除气泡的栓塞作用,却无法解决因气泡存在继发的生化变化而造成机体机能状态的障碍,及使损伤组织得到恢复。 本世纪六十年代以来,减压病的药物治疗作为加压治疗的辅助疗法而被提出,从而弥补了原有的加压治疗中的不足。 现将用于减压病治疗的几类药物综合介绍如下。 一、血液扩容剂 急性的严重减压病人,由于血管渗透性增加,大量血浆外渗,有引起低血容量性休克的危险。静脉输入血液扩容剂,其目的是为了恢复血容量,维持正常血压,逆转微循环淤 Compression therapy (including hyperbaric oxygen therapy) is by far the most effective treatment for decompression sickness. However, practice has shown that relying solely on compression therapy is often difficult to achieve for severe decompression cases. The reason is that pressure therapy can only exclude the embolization of air bubbles, but can not solve the biochemical changes secondary to the presence of air bubbles caused by obstacles to the functioning of the body, and damage to the organization to be restored. Since the sixties of this century, the medical treatment of decompression sickness has been proposed as an adjuvant therapy for compression therapy, thus making up for the deficiencies in the original compression therapy. Now for the treatment of decompression sickness several types of drugs are summarized below. First, the blood volume expander acute severe decompression patients, due to increased vascular permeability, a large number of plasma extravasation, there is the risk of hypovolemic shock. Intravenous blood volume expander, the purpose is to restore blood volume, maintain normal blood pressure, reverse microcirculation silt