Near-Fatal Air Travel after Diving: A Case of Impending Tension Pneumothorax on an International Flight

致命的潛水後飛行：國際航班上的壓力性氣胸個案

姚重光(Chung-Kuang Yao) ； 黃崑崙(Kun-Lun Huang) ； 彭忠衎(Chung-Kan Peng)

《胸腔醫學》 33卷6期 (2018/12) Pp. 254-260

摘要

Pulmonary barotrauma and decompression sickness are serious complications of scuba diving, caused by an inappropriate ascent. For those diving abroad, a strict surface interval requirement for flying after diving has been recommended in the U.S. Navy Diving Manual. We herein report a rare case, that of an experienced scuba diver who had severe dyspnea on an international flight home after a diving vacation abroad. Repeated ambient pressure change during 2 flight transfers led a diving complication becoming an impending tension pneumothorax at the airport terminal. The patient recovered well after tube thoracotomy and blebectomy.

關鍵字

flying after diving ； barotrauma ； pneumothorax

並列摘要

肺部氣壓傷及減壓症皆為潛水的嚴重併發症，常發生於不正確的上升過程。針對國外的潛水，美國海軍潛水準則已嚴格地規定潛水後與飛行的海平面停留間隔。本罕見案例為一位具多年水肺潛水經驗的女性，在國外潛水假期後返國的航班上，發生嚴重的呼吸困難。兩次的航班轉機帶來反覆的環境壓力變化，導致病人在返國後發展成壓力性氣胸。病人經胸管引流術及肺泡摘除手術後痊癒。

並列關鍵字

潛水後飛行 ； 氣壓傷 ； 氣胸