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박인철,박세광,한 진,최병선,김희덕 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.1
Background : Scuba diving has become increasingly popular in Korea. Medical problems are common with dives, especially decompression sickness(DCS). This study was performed to obtain an useful information of hyperbaric oxygen therapy in DCS in Korea. Method : We reviewed the 62 cases of Korean divers, who were diagnosed as DCS and received recompression therapy according to U, S. Navy Standard Recompression Treatment Table at Ocean and Underwater Medical Research and Training Center of ROK Navy, for 6 years Jan. 1993 to Nov. 1998. Result : 1) The mean no-decompression limit excess time between type I DCS group(72.7 min) and type Ⅱ DCS group(92.8 min) showed significant difference. 2) The rate of symptoms appeared on surfacing and within 10min. after surfacing of type Ⅰ and type Ⅱ DCS were 41.4% and 72.7%, respectively 3) The cure rate of type Ⅰ and type Ⅱ DCS were 75.9% and 42.4%, respectively. In type Ⅱ DCS group, the cure rate of the group within 12 hour-delayed recompression treatment and the group above 12 hours-delayed treatment were 64.3% and time 26.3%, respectively, and in type Ⅰ DCS group, 100% and 66.7%, respectively. Conclusion : These findings suggest that the education of safety, the strict observance of the standard decompression table, and the avoidance of excessive repeated diving are important for reducing the risk of diving related disease. And to offer proper management of DCS, there should be more multiplace hyperbaric oxygen chambers, the suitable transport system, and the specialist of diving medicine or hyperbaric medicine in Korea.