内耳减压病与内耳气压伤同时并存,据信文献中尚无记载。作者报道一位潜水员患内耳减压病(DCS)伴有圆窗瘘所致的内耳症状。患者45岁,男性,潜水20米46分钟,出水后诉头晕、恶心、平衡困难,右耳听力丧失及全身不适。体检Romberg征立即倒向右侧。右耳听力明显减退,右侧Rinne试验骨导大于气导, Inner ear decompression sickness and inner ear pressure injury co-exist, it is believed there is no record in the literature. The author reported a diver suffering from inner ear decompression sickness (DCS) with a round fistula caused by the inner ear symptoms. 45-year-old male, diving 20 meters 46 minutes after the water v. Dizziness, nausea, balance difficulties, loss of right ear hearing and general malaise. Physical Romberg sign immediately fell to the right. Right ear hearing decreased significantly, right Rinne test bone conduction greater than air conduction,