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新型冠状病毒感染后潜水员适潜性评估
官振标1,董宇超1,徐佳骏2,俞旭华2,文宇坤2,刘霞2,刘文武2*
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(1. 海军军医大学(第二军医大学)第一附属医院呼吸与危重症医学科, 上海 200433;
2. 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
*通信作者)
摘要:
新型冠状病毒感染(COVID-19)对全身几乎所有器官都会产生影响,其中最主要的受累器官为肺和心脏。随着COVID-19康复患者数量不断增加,越来越多的证据表明,因COVID-19住院治疗获得康复的患者中有相当大比例的人群存在后遗症,主要表现为呼吸系统和心血管系统的症状。对于潜水员,COVID-19后的运动耐受、心肺功能的恢复对其适潜性具有重要影响。一些组织和机构发布了潜水员COVID-19后的适潜性评估指南。本文对COVID-19后的呼吸和心血管系统后遗症及相关的适潜性评估方案进行简要介绍,并基于已有的相关要求和我国实际,初步提出我国潜水员COVID-19后的适潜性评估要求。
关键词:  新型冠状病毒感染  适潜性  评估  肺功能  运动耐受  心功能
DOI:10.16781/j.CN31-2187/R.20230290
投稿时间:2023-05-24修订日期:2023-09-04
基金项目:海军军医大学(第二军医大学)“强海”创新托举团队项目(24TPSL0101).
Assessment of fitness to dive after coronavirus disease 2019
GUAN Zhenbiao1,DONG Yuchao1,XU Jiajun2,YU Xuhua2,WEN Yukun2,LIU Xia2,LIU Wenwu2*
(1. Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Department of Diving and Hyperbaric Medical Research, Naval Medical Center, Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author)
Abstract:
Coronavirus disease 2019 (COVID-19) affects almost all the organs in the human body, especially the lungs and heart. As the number of patients recovered from COVID-19 continues to increase, increasing evidence suggests that a significant proportion of inpatients recovered from COVID-19 experience sequelae, and they mainly have the symptoms of respiratory and cardiovascular systems. For divers, the exercise tolerance and cardiopulmonary function after recovery from COVID-19 significantly affect their fitness to dive. Some organizations and institutions have released guidelines for the assessment of fitness to dive in divers after recovery from COVID-19. Herein, we briefly introduce the respiratory and cardiovascular sequelae and the assessment of fitness to dive in divers after recovery from COVID-19, and preliminarily provide the potential requirements for the assessment of fitness to dive in Chinese divers after COVID-19 based on the current conditions in China.
Key words:  coronavirus disease 2019  fitness to dive  assessment  lung function  exercise tolerance  cardiac function