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首页> 外文期刊>Undersea and Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society >Underutilization of echocardiography for patent foramen ovale in divers with serious decompression sickness.
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Underutilization of echocardiography for patent foramen ovale in divers with serious decompression sickness.

机译：未充分利用超声心动图的专利卵圆孔未闭与严重的潜水员减压病。

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摘要

The presence of a patent foramen ovale (PFO) in compressed gas diving has been considered a risk factor for serious decompression illness (DCS) for more than 20 years. We conducted a ten year retrospective chart review aimed at determining if physicians treating DCS in a university medical center setting used echocardiography to assess PFO in patients with severe DCS, and if so whether PFO is over-represented in that population. Over the ten-year period, 113 divers underwent recompression therapy for decompression sickness. Of these patients, 48 had serious DCS defined by at least one objective neurological finding. We reviewed medical records for the presence of agitated saline contrast echocardiogram testing and whether or not PFO was present. Only 12 of 48 patients with serious DCS underwent transthoracic agitated saline contrast echocardiogram testing. Of these 12 patients, 6 (50%) had a resting PFO. Binomial proportion testing yielded 95% confidence limits of 21% and 79%. Given 27% PFO prevalence in the general population, PFO may be over-represented in our group of most seriously injured DCS patients yet 75% of patients with objective neurological signs did not undergo echocardiography.
机译：的存在卵圆孔未闭(卵圆孔未闭)压缩气体潜水一直被视为一个风险因素严重减压病(DCS)超过20年。回顾性图表回顾旨在确定如果医生治疗DCS在大学医疗中心设置使用超声心动图评估卵圆孔未闭的患者严重的DCS,如果是这样卵圆孔未闭是否占大多数人口。接受了压缩再压缩疗法病。定义为至少一个客观的神经发现。激动的盐水的对比超声心动图检测和卵圆孔未闭是否礼物。接受了经胸廓的激动盐水的对比超声心动图检测。(50%)有一个休眠卵圆孔未闭。测试了21%和95%置信区间79%。人口,卵圆孔未闭可能占我们群最严重受伤DCS的病人75%的病人用客观的神经信号不接受超声心动图。

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