乙醇治疗急性减压病临床疗效观察

Curative effect of alcohol on acute decompression sickness

目的观察乙醇治疗急性减压病（acute decompression sickness，ADCS）的疗效并探讨其作用机制。方法给予12例ADCS患者52度白酒（乙级大曲）100～150ml，加入等量的5％葡萄糖溶液中，于10min内口服完毕，然后观察并记录ADCS相关症状和体征消失的时间。结果6例ADCS患者，其潜水深度≤30m，潜水时间≤108min，重复潜水≤2次，饮酒后15min症状和体征明显好转，30min症状和体征基本消失，60min左右完全消失恢复正常。其余6例ADCS患者于饮酒后25min症状和体征明显好转，50min左右症状和体征基本消失，140min左右完全消失恢复正常。结论饮酒治疗ADCS方法合理，疗效肯定，有科学依据，且无明显不良反应，在潜水现场无加压舱时，可用于轻型急性减压病的应急治疗。

Objective To observe curative effect of alcohol on acute decompression sickness（ADCS）. Methods One hundred to one hundred and fifty ml of alcohol （52 degree distillate spirit） , added to equal amount of 5% glucose solution was taken orally by 12 patients with ADCS in 10 minutes. The signs and symptoms correlated to ADCS were observed and recorded. Results After drinking alcohol, signs and symptoms of ADCS in 6 patients whose diving depth was less than 30 m and diving time was less than 108 min were obviously improved at 15 min, disappeared from 30 min to 60 rain. The other 6 cases＇ signs and symptoms were obviously improved at 25 min, began to disappeare at 50 rain and completed to disapperae at 140 min. Conclusions Effect of alcohol on ADCS is obviously and this method is reasonable and its base is scientific and side effect can＇t be caused by after treatment. When there is no compression chamber at the site of diving, this method can be used to treat gently ADCS.