水下加压治疗的现状  

Current status of in-water recompression

作　　者：刘文武[1] 李慈[1] 俞旭华 徐佳骏[1] 方以群[1] LIU Wen-wu;LI Ci;YU Xu-hua;XU Jia-jun;FANG Yi-qun(Department of Diving and Hyperbaric Medical Research,Naval Medical Center,Naval Medical University(Second Military Medical University),Shanghai 200433,China)

机构地区：[1]海军军医大学(第二军医大学)海军特色医学中心潜水与高气压医学研究室,上海200433

出　　处：《第二军医大学学报》2021年第10期1164-1167,共4页Academic Journal of Second Military Medical University

基　　金：国家自然科学基金面上项目(81772015,81901912);国防科技创新特区项目(19-163-16-ZD-020-008-01,19-163-16-ZD-020-008-03)。

摘　　要：潜水实践中,如果潜水员罹患潜水相关疾病,但现场既无加压舱也没有条件后送至有效救治机构进行治疗时,在设备条件和技术条件允许的情况下可进行水下加压治疗。但是,并不是所有潜水相关疾病都需要进行水下加压治疗,也不是所有的情况下都适合进行水下加压治疗。同时,水下加压治疗存在着一定的风险。潜水作业现场,患病潜水员选择水下加压治疗时需综合考虑多方面因素后做出选择。本文对选择水下加压治疗的条件及水下加压治疗存在的风险、治疗方案和实施要求进行简要总结。In diving practice,divers who are suspected of suffering decompression illness(DCI)in locations remote from a recompression chamber and cannot be immediately transported to eligible settings for further treatment are sometimes treated with in-water recompression(IWR)when the equipment and technique are available.However,not all diving-related diseases require IWR,compression therapy is not feasible in all conditions.At the same time,IWR has certain risks.Therefore,at the diving site,various factors should be taken into account when IWR is chosen,and the pros and cons of IWR should be weighed for decision making.This paper briefly summarizes the conditions,risks,treatment schedules and requirements of IWR.

关 键 词：潜水医学 水下加压治疗 减压病 减压性疾病 氧中毒 

分 类 号：R845.2[医药卫生—航空、航天与航海医学]