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首页> 外文期刊>Wilderness & environmental medicine >Gas in Joints After Diving: Computed Tomography May Be Useful for Diagnosing Decompression Sickness
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Gas in Joints After Diving: Computed Tomography May Be Useful for Diagnosing Decompression Sickness

机译：潜水后关节中的气体：计算断层扫描可能有助于诊断减压病

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摘要

A 26-y-old experienced scotoma scintillans after 59 min of scuba diving at a maximum depth of 26 m. After the patient smoked a cigarette, the scotoma scintillans ceased. However, he then developed a headache, general fatigue, and shoulder and elbow pain. He therefore called an ambulance. Based on the rules of the medical cooperative system for decompression sickness in Izu Peninsula, the fire department called a physician-staffed helicopter. After a physician checked the patient, his complaints remained aside from a low-grade fever. A portable ultrasound revealed bubbles in his inferior vena cava. Because of the risk of his being infected with COVID-19, he was transported to our hospital not by air evacuation but via ground ambulance staff while receiving a drip infusion of fluid and oxygen. After arriving at the hospital, his symptoms had almost subsided. Whole-body computed tomography revealed gas around the bladder, left hip, right knee, bilateral shoulder, joints, and right intramedullary humerus. The patient received high-concentration oxygen, infusion therapy, and observational admission. On the second day of admission, his symptoms had completely disappeared, and he was discharged. To our knowledge, this is the first report that computed tomography might be useful for detecting gas in multiple joints, suggesting the onset of decompression sickness after diving. This might be the first report of gas in an intramedullary space after diving as a potential cause of dysbaric osteonecrosis.
机译：一名26岁的患者在26米的最大深度潜水59分钟后出现暗点闪烁。患者吸烟后，暗点闪烁停止。然而，随后他出现了头痛、全身疲劳以及肩肘疼痛。于是他叫了救护车。根据伊豆半岛减压病医疗合作系统的规定，消防部门呼叫了一架医生直升机。医生检查了病人后，除了低烧之外，他的症状仍然存在。便携式超声波检查显示他的下腔静脉有气泡。因为他被感染2019冠状病毒疾病，他被送往医院，而不是通过空中疏散，而是通过地面救护人员接受输液和氧气的输液。到达医院后，他的症状几乎消失了。全身计算机断层扫描显示膀胱、左髋、右膝、双肩、关节和右肱骨髓内周围有气体。患者接受了高浓度氧气、输液治疗和观察入院。入院第二天，他的症状完全消失，并已出院。据我们所知，这是计算机断层扫描可能有助于检测多个关节中的气体的首次报告，表明潜水后会出现减压病。这可能是首次报告潜水后髓内气体可能导致减压性骨坏死。

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