查詢結果分析
來源資料
頁籤選單縮合
題名 | 以高壓氧治療異常氣壓工作所引發之空氣栓塞症=Hyperbaric Oxygen Therapy in the Treatment of Arterial Gas Embolism Induced by Dysbaric Pressure |
---|---|
作者姓名(中文) | 陳興漢; | 書刊名 | 中華職業醫學雜誌 |
卷期 | 12:1 2005.01[民94.01] |
頁次 | 頁33-40 |
分類號 | 415.467 |
關鍵詞 | 空氣栓塞症; 減壓病; 高壓氧治療; Arterial gas embolism; Decompression sickness hyperbaric oxygen therapy; |
語文 | 中文(Chinese) |
中文摘要 | 從事異常氣壓的工作人員於工作壓力下做快速的減壓上升,可造成空氣栓塞症的發生。依據波義耳定律,快速的減壓上升,可造成肺臟體積的膨脹。當肺泡的壓力過80至100水銀汞柱時,空氣便會被強迫的進入肺露血管內,造成空氣栓塞症的發生。 空氣進入血液後會進入到小的動脈和腦部的微小血管,造成血流受阻。空氣栓塞症發生後,意識的改變是最常見的症狀,其程度由方向感辯識不清到昏迷等。空氣栓塞症的診斷主要是要詳細的詢問異常氣壓工作人員的工作深度及壓力下停留時間和神經學檢查的發現。罹患空氣栓塞症的緊急處置包括以密合的面罩給病患呼吸百分之百的氧氣,及盡快轉送設有高壓艙的醫院。以高壓氧治療空氣栓塞症是可治癒的工具。病患發病接受高壓氧治療的時間是非常重要的,病患延誤高壓氧治療的時間愈短,其治療效果越好。 |
英文摘要 | Arterial gas embolism occurs in dysbaric pressure workers undergoing rapid decompression. According to the Boyles’ Low, lung volumes expand during rapid decompression. When alveolar pressure exceeds 80—100 mmHg, air can be forced into pulmonary capillaries. During rapid decompression, the consequences of pulmonary overinflation can cause alveolar rupture leading arterial gas embolism. Alveoli may rupture causing the air into the cerebral circulation. Air emboli lodge distally in the smaller arteries and arterioles of the brain and obstruct the flow of blood. A sudden change in sensorium is the most common symptom and ranges from disorientation to coma. The diagnosis of air embolism is based on a careful consideration of the worker’s history and neurological findings. Emergency measures include administration of 100% oxygen, using a closely fitting mask and transport of the patient to a hyperbaric facility. Hyperbaric oxygen therapy is curable for the arterial gas embolism. Time is the more important element in management- the shorter the delay, the better the outcome. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。