[分享] [分享] 國外的潛水傷害

看板DivingSport (潛水)作者hancash時間8年前 (2018/05/28 22:42)推噓2(2推 0噓 3→)

留言5則, 5人參與討論串1/1

中文翻譯由《Renee Woo》翻譯美國潛水意外事件分享。【自發性氣胸】意外發生者已恢復，由其本人現身說明的潛水意外事件。僅在29~32米深度由於壓力增加而引起的氣泡穿孔（氣壓傷），即自發性氣胸，然後胸腔中的空氣又在他緩慢上升的過程進到頸部組織造成嚴重皮下氣腫，以致於他在安全? 這個事件沒有悲劇收場一部份歸功於船長機警，一看到他上水面就發現不對勁，趕快撈他出水，剪開防寒衣舒緩他因腫脹被勒緊的頸部。並且用警笛呼叫水下所有潛水員棄潛趕快上船，經過一個多小時的船程將他交給已在岸邊等治療方式：持續供氧氣，來提高剩餘肺部的效率，以補償受影響肺部氣體交換的損失。胸腔引流排出氣胸，使（部分）肺塌陷再次擴張。以下原文： So this is me in the stretcher: Let me give everyone the real story for future experiences. I'm a fairly experience diver. I have been on at least 80 dives and 20 or so in 100ft or more. We were driving in pairs. I was in a group of three and we all stayed together. We had a dive master on board as well as a certified boat captain. We weren't a bunch of rookies on the boat being reckless. I descended to the bottom with my two other divers. When I got to the bottom I had a scratchy feeling in my throat. It wasn't painful or swelling just scratchy. I stayed down between 95 and 106 ft for 20 minutes. I never held my breathe out did anything different than I normally do. As I began to run low on air and saw the other drivers head to the rope, I went with them. I ascended at a normal rate but as I ascended my throat began to feel different. As i was doing my safety stop at 16 ft I stopped for 48 seconds but at this point I was starting to have a tough time breathing because my wetsuit was choking me, so I skipped the rest of my safety stop and went to the top. When I got to the surface the captain face looked like he saw a ghost. I wasn't in pain but could tell my throat was swollen some. They immediately but calmly for everyone in and decided to take me back. I didn't understand because I wasn't hurting and was breathing now that my suit was off. Everyone assumed I was stung by a lion fish. I didn't think so because I never felt it and last October I kicked one accidentally and it didn't feel anything like that. Captain and everyone told me to go lay down in the back and rest for the ride home. Well shortly after I had very sharp pains in my chest and I thought I was having a heart attack so I told the captain to book it and they called the coast guard. It took about an hr to get in and the ambulance was at the dock waiting. Upon arriving at the hospital, it was immediately determined it had nothing to do with a lion fish. I had punctured my lung at the bottom and the air traveled up into my throat while I was driving. As I began at ascend it expanded in my throat causing it to swell. It is called barotrauma. As I went and layed down in the back the air moved from my throat lower into my chest, around my heart and kidneys. At the hospital I was treated almost the same as having a collapsed lung. I had a tube in my side to help drain excess air and give high levels of O2 to help my tissue absorb the oxygen inside my body. I was released within 24 hrs and back to normal now. "Spontaneous pneumothorax secondary to perforation of a bleb due to increased pressure difference during diving (barotrauma). Subcutaneous emphysema from air tracking into tissues of neck from the chest cavity. Quite large as clinically visible to non-medics. Also large enough to expand neck circumference to point that wetsuit collar became noticeably tighter. Treatment: Oxygen to improve efficiency of remaining lung to compensate for loss of gas exchange surface in affected lung. Chest drain to drain pneumothorax to allow reexpansion of (partially) collapsed lung." perfect diagnosis with medical terms from comments! Thanks I haven't posted or said much because I wanted to check my dive computer before I said anything. If this ever happens in the future O2 tank definitely help absorbs the air. Nothing else really can be done. https://i.imgur.com/zYtKfk4.jpg