Decompression illness: clinical aspects of 5278 consecutive cases treated in a single hyperbaric unit.

<h4>Background</h4>Decompression illness (DCI) is a major concern in pressure-related activities. Due to its specific prerequisite conditions, DCI is rare in comparison with other illnesses and most physicians are inexperienced in treatment. In a fishery area in northern China, during th...

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Autores principales:	Wenbing Xu, Wenwu Liu, Guoyang Huang, Zijiao Zou, Zhiyu Cai, Weigang Xu
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c06bdc2587cf4acf95eb287bd77ba69b
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spelling	oai:doaj.org-article:c06bdc2587cf4acf95eb287bd77ba69b2021-11-18T08:07:48ZDecompression illness: clinical aspects of 5278 consecutive cases treated in a single hyperbaric unit.1932-620310.1371/journal.pone.0050079https://doaj.org/article/c06bdc2587cf4acf95eb287bd77ba69b2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23185538/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Decompression illness (DCI) is a major concern in pressure-related activities. Due to its specific prerequisite conditions, DCI is rare in comparison with other illnesses and most physicians are inexperienced in treatment. In a fishery area in northern China, during the past decade, tens of thousands of divers engaged in seafood harvesting and thousands suffered from DCI. We established a hyperbaric facility there and treated the majority of the cases.<h4>Methods and results</h4>A total of 5,278 DCI cases were admitted in our facility from February 2000 through December 2010 and treated using our recompression schedules. Cutaneous abnormalities, joint and muscular pain and neurological manifestations were three most common symptoms. The initial symptom occurred within 6 h after surfacing in 98.9% of cases, with an overall median latency of 62 min. The shorter the latent time, the more serious the symptoms would be (P<0.0001). Nine cases died before recompression and 5,269 were treated using four recompression schedules, with an overall effectiveness rate of 99.3%. The full recovery rate decreased with the increase of the delay from the onset of symptoms to the treatment (P<0.0001).<h4>Conclusions</h4>DCI presents specific occurrence rules. Recompression should be administered as soon as possible and should never be abandoned irrespective of the delay. The recompression schedules used were effective and flexible for variety conditions of DCI.Wenbing XuWenwu LiuGuoyang HuangZijiao ZouZhiyu CaiWeigang XuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 11, p e50079 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Wenbing Xu Wenwu Liu Guoyang Huang Zijiao Zou Zhiyu Cai Weigang Xu Decompression illness: clinical aspects of 5278 consecutive cases treated in a single hyperbaric unit.
description	<h4>Background</h4>Decompression illness (DCI) is a major concern in pressure-related activities. Due to its specific prerequisite conditions, DCI is rare in comparison with other illnesses and most physicians are inexperienced in treatment. In a fishery area in northern China, during the past decade, tens of thousands of divers engaged in seafood harvesting and thousands suffered from DCI. We established a hyperbaric facility there and treated the majority of the cases.<h4>Methods and results</h4>A total of 5,278 DCI cases were admitted in our facility from February 2000 through December 2010 and treated using our recompression schedules. Cutaneous abnormalities, joint and muscular pain and neurological manifestations were three most common symptoms. The initial symptom occurred within 6 h after surfacing in 98.9% of cases, with an overall median latency of 62 min. The shorter the latent time, the more serious the symptoms would be (P<0.0001). Nine cases died before recompression and 5,269 were treated using four recompression schedules, with an overall effectiveness rate of 99.3%. The full recovery rate decreased with the increase of the delay from the onset of symptoms to the treatment (P<0.0001).<h4>Conclusions</h4>DCI presents specific occurrence rules. Recompression should be administered as soon as possible and should never be abandoned irrespective of the delay. The recompression schedules used were effective and flexible for variety conditions of DCI.
format	article
author	Wenbing Xu Wenwu Liu Guoyang Huang Zijiao Zou Zhiyu Cai Weigang Xu
author_facet	Wenbing Xu Wenwu Liu Guoyang Huang Zijiao Zou Zhiyu Cai Weigang Xu
author_sort	Wenbing Xu
title	Decompression illness: clinical aspects of 5278 consecutive cases treated in a single hyperbaric unit.
title_short	Decompression illness: clinical aspects of 5278 consecutive cases treated in a single hyperbaric unit.
title_full	Decompression illness: clinical aspects of 5278 consecutive cases treated in a single hyperbaric unit.
title_fullStr	Decompression illness: clinical aspects of 5278 consecutive cases treated in a single hyperbaric unit.
title_full_unstemmed	Decompression illness: clinical aspects of 5278 consecutive cases treated in a single hyperbaric unit.
title_sort	decompression illness: clinical aspects of 5278 consecutive cases treated in a single hyperbaric unit.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/c06bdc2587cf4acf95eb287bd77ba69b
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Decompression illness: clinical aspects of 5278 consecutive cases treated in a single hyperbaric unit.

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