中华航海医学与高气压医学杂志
中華航海醫學與高氣壓醫學雜誌
중화항해의학여고기압의학잡지
CHINESE JOURNAL OF NAUTICAL MEDICINE AND HYPERBARIC MEDICINE
2012年
3期
129-134
,共6页
胡慧军%石中瑗%杨晨%张延猛%石路%周述尧%魏建芬%薛利群%姚健%方以群%潘晓雯
鬍慧軍%石中瑗%楊晨%張延猛%石路%週述堯%魏建芬%薛利群%姚健%方以群%潘曉雯
호혜군%석중원%양신%장연맹%석로%주술요%위건분%설리군%요건%방이군%반효문
高原%氦氧潜水%医学保障
高原%氦氧潛水%醫學保障
고원%양양잠수%의학보장
High altitude%Heliox diving%Medical support
目的 了解模拟不同海拔高原环境下氦氧潜水对人体生理、心理和血液指标的影响,检验模拟不同海拔高原环境下氦氧潜水实验的医学保障方案.方法 4名潜水员于高、低压两用舱内,连续9d先后模拟平原、海拔3000 m环境及该环境下30 m潜水、海拔4000m环境及该环境下30 m潜水、海拔5200 m环境及该环境下30 m潜水和50 m潜水.在实验的不同阶段分别进行基础生命指标、心血管功能、中枢神经系统功能和心理指标的监测,以及血与尿生化、免疫学等指标的检测和临床医学观察.并在潜水减压过程中进行多普勒超声气泡监测.结果 4名受试潜水员全部按照计划完成了各项测试.在模拟高原环境下,所有受试潜水员均发生了不同程度的急性轻型高原病,其中1名潜水员出现了血压升高,1名潜水员出现了发热,1名潜水员发生头部外伤.潜水员在减压过程中及减压后无减压病发生,但受到短时舱温升高的影响,1名潜水员出现了手指麻木的情况.结论 本次实验条件下的医学保障方案和医学监护手段切实可行,潜水安全.
目的 瞭解模擬不同海拔高原環境下氦氧潛水對人體生理、心理和血液指標的影響,檢驗模擬不同海拔高原環境下氦氧潛水實驗的醫學保障方案.方法 4名潛水員于高、低壓兩用艙內,連續9d先後模擬平原、海拔3000 m環境及該環境下30 m潛水、海拔4000m環境及該環境下30 m潛水、海拔5200 m環境及該環境下30 m潛水和50 m潛水.在實驗的不同階段分彆進行基礎生命指標、心血管功能、中樞神經繫統功能和心理指標的鑑測,以及血與尿生化、免疫學等指標的檢測和臨床醫學觀察.併在潛水減壓過程中進行多普勒超聲氣泡鑑測.結果 4名受試潛水員全部按照計劃完成瞭各項測試.在模擬高原環境下,所有受試潛水員均髮生瞭不同程度的急性輕型高原病,其中1名潛水員齣現瞭血壓升高,1名潛水員齣現瞭髮熱,1名潛水員髮生頭部外傷.潛水員在減壓過程中及減壓後無減壓病髮生,但受到短時艙溫升高的影響,1名潛水員齣現瞭手指痳木的情況.結論 本次實驗條件下的醫學保障方案和醫學鑑護手段切實可行,潛水安全.
목적 료해모의불동해발고원배경하양양잠수대인체생리、심리화혈액지표적영향,검험모의불동해발고원배경하양양잠수실험적의학보장방안.방법 4명잠수원우고、저압량용창내,련속9d선후모의평원、해발3000 m배경급해배경하30 m잠수、해발4000m배경급해배경하30 m잠수、해발5200 m배경급해배경하30 m잠수화50 m잠수.재실험적불동계단분별진행기출생명지표、심혈관공능、중추신경계통공능화심리지표적감측,이급혈여뇨생화、면역학등지표적검측화림상의학관찰.병재잠수감압과정중진행다보륵초성기포감측.결과 4명수시잠수원전부안조계화완성료각항측시.재모의고원배경하,소유수시잠수원균발생료불동정도적급성경형고원병,기중1명잠수원출현료혈압승고,1명잠수원출현료발열,1명잠수원발생두부외상.잠수원재감압과정중급감압후무감압병발생,단수도단시창온승고적영향,1명잠수원출현료수지마목적정황.결론 본차실험조건하적의학보장방안화의학감호수단절실가행,잠수안전.
Objective To investigate effects of simulated heliox diving on physiology,psychology and blood and urine indices in divers at different high altitudes,and also to assess medical support profiles for the simulated heliox diving at different high altitudes.Methods In the dual-purpose hyperbaric and hypobaric chamber complex,4 divers conducted a series of simulated dives for a succession of 9 days at various altitudes and under different simulated environmental conditions:the 30 m dive at an altitude of 3000 m,the 30 m dive at an altitude of 4000 m,and the 30 m and 50 m dives at an altitude of 5200 m.Various physiological indices,such as vital signs,cardiovascular function,CNS function and psychological state,as well as biochemical and immunological indices of the divers were monitored during different stages of the experiment.In the mean time,clinical observations were also made.Ultrasonic Doppler bubble detection was made during the whole process of decompression.Results The 4 divers completed all the experimental items as specified in the plan.In the simulated high altitude environments,all the divers displayed acute slight altitude disease to a more or less extent.The blood pressure of 1 diver elevated,another diver developed fever and still another diver had head injury.No decompression sickness occurred,in the process of decompression and after decompression.However,all of the divers were affected by transient high temperature of the chamber and 1 diver felt numb in the finger.Conclusions The experiment showed that the medical support profile and monitoring systems were feasible and the diving experiment was safely completed.
