[Classification of altitude decompression sickness].

Abstract

The article is devoted to the discussion of principles of and approaches to classification of altitude decompression sickness (DCS), one of the most methodically formidable aspects of the problem. Based on his own multiyear experience in altitude DCS investigations and critical review of literature, the author reasons his concept of clinical classification of altitude DCS. The author's concept places emphasis on obligatory consideration of three stages in DCS development: A--pre-disease (the premorbid syndrome), B--uncomplicated (light) and C--complicated (severe) forms. The objective sign of the premorbid state is "silent" gas bubbles in organism detectable by ultrasonic devices. Signs of uncomplicated altitude DCS are musculoarticular pains, local edema and skin itching. Complicated altitude DCS is diagnosed by systemic (respiratory, neurological and cardiovascular) disorders.