Wilmshurst P T, Byrne J C, Webb-Peploe M M
Department of Cardiology, St Thomas' Hospital, London.
Lancet. 1989 Dec 2;2(8675):1302-6. doi: 10.1016/s0140-6736(89)91911-9.
The prevalence of right-to-left interatrial shunts was determined by contrast echocardiography in a blind comparison of 61 divers who had had decompression sickness, divided into four predetermined clinical subgroups, and a control group of 63 who had not. The prevalence of shunt was 15/63 in the controls and did not differ significantly in 24 divers with onset of neurological symptoms more than 30 minutes after surfacing (4/24) or 6 with joint pain only (1/6). In divers who had neurological symptoms within 30 minutes of surfacing the prevalence of shunt was 19/29, significantly higher. Rashes soon after surfacing were related to shunts but late rashes were not.
通过对比超声心动图，对61名患有减压病的潜水员（分为四个预先确定的临床亚组）和63名未患减压病的对照组进行盲法比较，以确定右向左心房分流的患病率。对照组中分流的患病率为15/63，在浮出水面30分钟后出现神经症状的24名潜水员（4/24）或仅有关节疼痛的6名潜水员（1/6）中，患病率无显著差异。在浮出水面30分钟内出现神经症状的潜水员中，分流的患病率为19/29，显著更高。浮出水面后不久出现的皮疹与分流有关，但后期皮疹则无关。
