Kerut Christian K, Serio Joseph R, Kerut Edmund K
Franklin College of Arts and Sciences, University of Georgia, Athens, Georgia.
Occupational Medicine Center, Lafayette, Louisiana.
Echocardiography. 2019 Jun;36(6):1179-1180. doi: 10.1111/echo.14360. Epub 2019 May 13.
A 39-year-old male commercial diver developed cutis marmorata after a dive. He had a full recovery after therapy in a hyperbaric oxygen chamber. Transthoracic echocardiography revealed an atrial septal aneurysm and a large shunt during normal respirations. This form of decompression sickness may progress to type II DCS, thus is important to identify and treat. Cutis marmorata as a result of diving is highly associated with an atrial septal defect or a large patent foramen ovale. It is particularly important to assess these patients for a right-to-left shunt as part of a medical evaluation prior to returning to diving.
一名39岁的男性职业潜水员在一次潜水后出现了大理石样皮肤。在高压氧舱接受治疗后他完全康复。经胸超声心动图显示在正常呼吸时存在房间隔瘤和大量分流。这种减压病形式可能进展为II型减压病，因此识别和治疗很重要。潜水导致的大理石样皮肤与房间隔缺损或大的卵圆孔未闭高度相关。在这些患者恢复潜水之前，作为医学评估的一部分，评估其是否存在右向左分流尤为重要。
