論文

2017年3月

Elimination of CT-detected gas bubbles derived from decompression illness with abdominal symptoms after a short hyperbaric oxygen treatment in a monoplace chamber: a case report.

Undersea Hyperb Med
  • Takuya Oyaizu
  • ,
  • Mitsuhiro Enomoto
  • ,
  • Toshihide Tsujimoto
  • ,
  • Yasushi Kojima
  • ,
  • Atsushi Okawa
  • ,
  • Kazuyoshi Yagishita

44
2
開始ページ
167
終了ページ
171
記述言語
英語
掲載種別
研究論文(学術雑誌)

We report the case of a 54-year-old male compressed-air worker with gas bubbles detected by computed tomography (CT). He had complained of strong abdominal pain 30 minutes after decompression after working at a pressure equivalent to 17 meters of sea water for three hours. The initial CT images revealed gas bubbles in the intrahepatic portal vein, pulmonary artery and bilateral femoral vein. After the first hyperbaric oxygen treatment (HBO₂ at 2.5 atmospheres absolute/ATA for 150 minutes), no bubbles were detected on repeat CT examination. The patient still exhibited abdominal distension, mild hypesthesia and slight muscle weakness in the upper extremities. Two sessions of U.S. Navy Treatment Table 6 (TT6) were performed on Days 6 and 7 after onset. The patient recovered completely on Day 7. This report describes the important role of CT imaging in evaluating intravascular gas bubbles as well as eliminating the diagnosis of other conditions when divers or compressed-air workers experience uncommon symptoms of decompression illness. In addition, a short treatment table of HBO₂ using non-TT6 HBO₂ treatment may be useful to reduce gas bubbles and the severity of decompression il

リンク情報
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28777907