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Biochemistry and hematology at decompression sickness: a case report
Aviation, Space, and Environmental Medicine
|June 1, 1976
Summary
Decompression sickness in divers can cause significant hematological changes. Recovery from dysbarism involves complex biochemical shifts and may extend beyond pain alleviation.
Area of Science:
- Physiology
- Hematology
- Biochemistry
Background:
- A case study of a hospital corpsman experiencing decompression sickness after a simulated dive to 188 FSWG.
- The subject received recompression therapy and followed a U.S. Navy Treatment Table 5 regimen.
Observation:
- The acute phase of decompression sickness involved shortened clotting time, thrombocytopenia, and increased platelet aggregates.
- The recovery phase showed hemodilution, elevated megathrombocyte index, eosinopenia, hyperglycemia, and altered urine electrolyte excretion.
Findings:
- Dysbarism treatment led to significant hematological and biochemical alterations.
- Persistent changes in blood counts, glucose levels, and hormone excretion were observed for 10 days post-treatment.
Implications:
- Pain relief in decompression sickness does not signify immediate full recovery.
- Complete physiological recovery from dysbarism may require an extended period, necessitating comprehensive monitoring.