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超声气泡检测在潜水减压研究中的应用
俞旭华1,李慈1,徐佳骏1,徐齐兵2,方以群1,刘文武1*
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(1. 海军军医大学(第二军医大学)海军特色医学中心潜水与高气压医学研究室, 上海 200433;
2. 海军 92118 部队862 船医务室, 宁波 315500
*通信作者)
摘要:
即使没有违背减压方案,潜水减压结束后潜水员体内也会产生气泡,发生静脉气体栓塞。由于气泡数量少或这些气泡尚未造成明显的减压病症状和体征,大部分情况下潜水员并未感觉存在静脉气体栓塞。然而,减压后体内气泡的数量、部位、持续时间等与潜水后减压病的发生风险有关,越来越多的研究通过检测潜水减压后体内气泡的相关参数来评估减压应激程度和减压病的发生风险。本文就超声气泡检测方法在潜水减压研究中的应用进行综述。
关键词:  超声气泡检测  减压病  潜水  静脉气体栓塞
DOI:10.16781/j.0258-879x.2021.01.0081
投稿时间:2020-04-11修订日期:2020-05-13
基金项目:国家自然科学基金面上项目(81772015,81901912),国防科技创新特区项目(19-163-16-ZD-020-008-01).
Application of ultrasonic bubble detection in diving decompression
YU Xu-hua1,LI Ci1,XU Jia-jun1,XU Qi-bing2,FANG Yi-qun1,LIU Wen-wu1*
(1. Department of Diving and Hyperbaric Medical Research, Naval Special Medical Center, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
2. Clinic of Warship 862, No. 92118 Troop of PLA Navy, Ningbo 315500, Zhejiang, China
*Corresponding author)
Abstract:
After diving decompression, bubbles will generate in diver's body even the decompression schedule is not violated, and they may increase the risk for venous gas embolism (VGE). Due to the small number of bubbles or the absence of obvious symptoms and signs of decompression sickness, most divers could not feel the presence of VGE. However, the amount, location, and duration of bubbles in the body after decompression are closely related to the risk of decompression sickness after diving. Therefore, increasingly more studies have evaluated the degree of decompression stress and the risk of decompression sickness by detecting the related parameters of bubbles in the body after decompression. Herein, we briefly reviewed the application of ultrasonic bubble detection in diving decompression researches.
Key words:  ultrasonic bubble detection  decompression sickness  diving  venous gas embolism