Abstract
Dekompresyon hastalığı eklemler, cilt, kardiyorespiratuvar sistem
ve sinir sistemi gibi vücut kısımlarını etkileyebilen çok farklı
semptom ve bulgularla ortaya çıkar. Bu yazıda rekompresyon
tedavisi uygulanan ciddi nörolojik Tip II Dekompresyon hastalığı
olan bir olgu sunulmuştur. Elli üç yaşında bir erkek hasta Karadenizde
dalış yapması sonrasında bayılma nedeniyle acil servise
getirildi. Olgu son dalışında kontrolsüz yükselmişti. Hasta acil
servise getirildiğinde bilinci kapalıydı. Bilinci açıldıktan sonra fizik
muayenesinde sol kol ve elinde parestezi mevcuttu. Anal sfinkter
tonusu azalmıştı. Hastanın idrar ve gayta inkontinansıyla beraber
vücudunda karakteristik raş (kutis marmoratus) vardı. Hasta
başlangıç tedavisinden sonra hiperbarik tedavi merkezine sevk
edildi. Yaşamı tehdit edici bu hastalığın acil tedavisi temel yaşam
desteği uygulamaları, hastanın horizontal pozisyonda tutulması,
%100 normobarik oksijen uygulaması ve ciddi nörolojik sekelleri
önleyecek rekompresyon tedavisinin yapılacağı hiperbarik tedavi
merkezine sevkini içerir.
References
- Allan GM, Kenny D. High-altitude decompression illness: case report and discussion. CMAJ 2003; 169: 803-7.
- Lemaitre F, Fahlman A, Gardette B, Kohshi K. Decompression sickness in breath-hold divers: J Sports Sci 2009; 27: 1519-34. [CrossRef]
- Liow MH, Chong SJ, Kang WL. A tale of three divers: recompression the- rapy for divers with severe Type II decompression sickness with neuro- logical deficits. Singapore Med J 2009; 50: 173-5.
- Newton HB. Neurologic Complications Of Scuba Diving. Am Fam Physi- cian. 2001; 63: 2211-25. 63
Abstract
Decompression sickness presents with a great variety of signs and symptoms that might affect any part of the human body including joints, skin, cardio respiratory and nervous systems. In this manuscript, we reported a case of severe neurological Type II Decompression sickness who received recompression therapy. A 53-year-old man presented at the emergency service of our hospital with history of diving in the Black Sea. He had made an uncontrolled ascent at the final dive. The patient arrived at the emergency service with loss of consciousness. A physical examination revealed paresthesia of the left arm and hand after he had regained consciousness. Anal sphincter tonus was reduced. The patient had urinary and fecal incontinence as well as a characteristic rash (cutis marmorata) on the body. After the initial treatment the patient was transported to the Hyperbaric Unit where he recovered completely after administration of hyperbaric treatment. Emergency treatment of this potentially life-threatening disease includes providing basic life support, horizontal positioning of the patient, administration of 100% normobaric oxygen, followed by an early transfer to the nearest hyperbaric facility for definitive recompression treatment to prevent serious neurological sequelae
Keywords
Scuba diving decompression sickness emergency recompression hyperbaric oxygenation air embolism
References
- Allan GM, Kenny D. High-altitude decompression illness: case report and discussion. CMAJ 2003; 169: 803-7.
- Lemaitre F, Fahlman A, Gardette B, Kohshi K. Decompression sickness in breath-hold divers: J Sports Sci 2009; 27: 1519-34. [CrossRef]
- Liow MH, Chong SJ, Kang WL. A tale of three divers: recompression the- rapy for divers with severe Type II decompression sickness with neuro- logical deficits. Singapore Med J 2009; 50: 173-5.
- Newton HB. Neurologic Complications Of Scuba Diving. Am Fam Physi- cian. 2001; 63: 2211-25. 63
Details
| Other ID | JA64FM23VK |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 1, 2012 |
| Submission Date | April 1, 2012 |
| Published in Issue | Year 2012 Volume: 3 Issue: 2 |