| 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。 |
| 关键词: 潜水医学 水下加压治疗 减压病 减压性疾病 氧中毒 |
| DOI：10.16781/j.0258-879x.2021.10.1164 |
| 投稿时间：2020-09-07修订日期：2021-01-04 |
| 基金项目: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）. |
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| Current status of in-water recompression |
| 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
*Corresponding author) |
| Abstract: |
| 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. |
| Key words: submarine medicine in-water recompression decompression sickness decompression illness oxygen toxicity |
