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潛水減壓導致兩下肢癱瘓:19例探討

Paraplegia due to Decompression Sickness (19 Cases)

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摘要


本篇報告潛水減壓症導致兩下肢癱瘓病患更復健狀況。本篇收集自1983年5月至1985年8月共19例病患,均為男性抓龍蝦漁民,年齡為23歲至50歲。神經理學檢查顯示胸髓神經完全損傷者有5位,不完全腰髓神經損傷者6位,這些病人均接受高壓氧治療及復健治療。病患出院時都有顯著進步只有6位殘留嚴重痙攣,其中2位接受膀胱造口術,其餘病患都有輕微尿失禁現象。結論顯示潛水減壓症發生的季節以春夏居多,所發生的神經受損以胸髓神經最多,病患宅預後與病患能否立即接受高壓氧治療有關。

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並列摘要


Nineteen cases of paraplegia due to decompression sickness were experienced from May 1983 to August 1985. All were the male fishermen. Their ages ranged from twenty-three yeras to fifty yeras. There were five with complete thoracic cord injury, seven with imcomplete thoracic cord injury and one with complete lumber cord injury, six with imcomplete lumber cord injury. All the patients had received hyperbaric treatment and rehabilitation. There were six persons with severe spasticity during discharge. Others had the symptom of mild incontinence. The study shows that early treatment may reduce complication. The most frequent seasons were spring & summer. The majority of the cases were thoracic cord injury.

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