Wilmshurst Peter
Consultant Cardiologist, Royal Stoke University Hospital, Stoke-on-Trent, ST4 6QG, UK , E-mail:
Diving Hyperb Med. 2016 Mar;46(1):47-9.
Right-to-left shunts can result in decompression illness in divers and lead to a number of other conditions. Transthoracic echocardiography with intravenous injection of bubble contrast, when performed according to a well-tested protocol by trained personnel, enables the safe, simple, rapid and inexpensive detection of right-to-left shunts, the assessment of the size of the shunts and the differentiation of atrial shunts from pulmonary shunts. This article summarises the author's views on the techniques available and his preferred protocol for transthoracic echocardiography.
右向左分流可导致潜水员患减压病，并引发许多其他病症。经胸超声心动图检查结合静脉注射气泡造影剂，由训练有素的人员按照经过充分测试的方案进行操作时，能够安全、简便、快速且低成本地检测右向左分流，评估分流大小，并区分心房分流与肺分流。本文总结了作者对现有技术以及他所偏好的经胸超声心动图检查方案的观点。
