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Titolo:
Cerebral arterial cas embolism in air force ground maintenance crew - A report of two cases
Autore:
Lee, CT;
Indirizzi:
Lumut Armed Forces Hosp, Dept Diving & Hyperbar Med, Lumut, Malaysia LumutArmed Forces Hosp Lumut Malaysia & Hyperbar Med, Lumut, Malaysia
Titolo Testata:
AVIATION SPACE AND ENVIRONMENTAL MEDICINE
fascicolo: 7, volume: 70, anno: 1999,
pagine: 698 - 700
SICI:
0095-6562(199907)70:7<698:CACEIA>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
DECOMPRESSION-SICKNESS; GAS EMBOLISM; PULMONARY BAROTRAUMA; HYPERBARIC TREATMENT; DELAYED TREATMENT; DIVERS; OXYGEN;
Keywords:
cerebral arterial gas embolism; decompression illness; ground maintenance crew; hyperbaric oxygen therapy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Lee, CT Armed Forces Lumut, Dept Diving & Hyperbar Med, Royal Malaysian Naval Base, Lumut 32100, Malaysia Armed Forces Lumut Royal Malaysian Naval Base Lumut Malaysia 32100
Citazione:
C.T. Lee, "Cerebral arterial cas embolism in air force ground maintenance crew - A report of two cases", AVIAT SP EN, 70(7), 1999, pp. 698-700

Abstract

Two cases of cerebral arterial gas embolism (CAGE) occurred after a decompression incident involving five maintenance crew during a cabin leakage system test of a Hercules C-130 aircraft. During the incident, the cabin pressure increased to 8 in Hg (203.2 mmHg, 27 kPa) above atmospheric pressure causing intense pain in the ears of all the crew inside. The system was rapidly depressurized to ground level. After the incident, one of the crew reported chest discomfort and fatigue. The next morning, he developed a sensation of numbness in the left hand, with persistence of the earlier symptoms. Asecond crewmember, who only experienced earache and heaviness in the head after the incident, developed retrosternal chest discomfort, restlessness, fatigue and numbness in his left hand the next morning. Both were subsequently referred to a recompression facility 4 d after the incident. Examination by the Diving Medical Officer on duty recorded left-sided hemianesthesia and Grade II middle ear barotrauma as the only abnormalities in both cases. Chest X-rays did not reveal any extra-alveolar gas. Diagnoses of Static Neurological Decompression illness were made and both patients re-compressed on a RN 62 table. The first case recovered fully after two treatments, and the second case after one treatment. Magnetic resonance imaging (MRI) of the brain and bubble contrast echocardiography performed on the first case 6 mo after the incident were reported to be normal. The second case was lost to follow-up. Decompression illness (DCl) generally occurs in occupational groups such as compressed air workers, divers, aviators, and astronauts. This is believed to be the first report of DCl occurring among aircraft's ground maintenance crew.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/05/20 alle ore 13:05:02