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頁籤選單縮合
題名 | 潛水員之脊髓減壓症 |
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作者 | 黃英修; | 書刊名 | 中華民國物理治療學會雜誌 |
卷期 | 15 1990.09[民79.09] |
頁次 | 頁46-53 |
分類號 | 416.292 |
關鍵詞 | 脊髓; 減壓症; 潛水員; |
語文 | 中文(Chinese) |
中文摘要 | 脊髓減壓症(spinal dysbarism)是出現於潛水員的一種中樞神經系統傷 害,病人會有程度不同的四肢麻痺或下肢麻痺;造成傷害的原因走潛水減壓後溶 解於組織血管內的氮氣氣泡釋放所引起,由於脊髓硬膜上腔靜脈系統(epidural vertebral venous system)特殊之構造及生理,使氣泡特別容易栓塞造成病變。臨床 上主要之治療以高壓氧治療為主:愈早之治療有愈好之預後,未完全復原的病人 必須接受妥善的復健,以適應日常生活、回復工作,所以落實潛水衛生教育更走 刻不容緩,可以減少不必要的意外發生。 |
英文摘要 | Spinal dysbarism is an accident causedby nitrogen bubble affecting the spinal cordof divers. Paraplegia or quadriplegia may occuras a result of those miseries. Once carelessdivers ascend to surface too quickly, nitrogenbubble will obstruct fatty tissue in the spinalcord directly or occlude epidural vertebral venoussystem (EVVS) via periphral tissue and bloodvessel. Peculiarity of EVVS in anatomy andphysiology contributes to nitrogen bubble easilyaccumulated, and relative cardiopulmonary reaction aggravate obstruction accordingly.Most of the manisfestations appear within 24hrs, and patient might experience sensoryimpairment, pain, weakness, paralysis, incontinence, etc. Main therapy depend on hyperbaricoxygen therapy for recompression. The earlierthe hyperbaric oxygen therapy given, the betterprognosis of patients will be. In spite ofrecompression therapy, rehabilitation is alsoimportant for educating and training patients.Prompt diving hygiene should be emphasizedto prevent unnecessary accident. |
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