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中华医学超声杂志(电子版) ›› 2022, Vol. 19 ›› Issue (06) : 504 -507. doi: 10.3877/cma.j.issn.1672-6448.2022.06.003

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规范化的右心声学造影
赵星1, 王浩1,()   
  1. 1. 100037 中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院超声影像中心
  • 收稿日期:2022-04-15 出版日期:2022-06-01
  • 通信作者: 王浩

Standardized contrast echocardiography

Hao Zhao Xing,Wang1   

  • Received:2022-04-15 Published:2022-06-01
引用本文:

赵星, 王浩. 规范化的右心声学造影[J]. 中华医学超声杂志(电子版), 2022, 19(06): 504-507.

Hao Zhao Xing,Wang. Standardized contrast echocardiography[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(06): 504-507.

图1 正常右心声学造影图像。图a、b分别为经胸二维超声心动图增强剂注入前与注入后图像;图c、d分别为经食管二维超声心动图增强剂注入前与注入后图像注:LA为左心房;LV为左心室;RA为右心房;RV为右心室;TTE为经胸超声心动图;TEE为经食管超声心动图
图2 右心声学造影的装置。图a示使用2个10 ml的注射器和1个三通接头连接;图b示为方便操作及防止喷溅,亦可使用2个5 ml的注射器和2个三通接头连接,另备1支抽吸适量生理盐水的注射器,以便于多次推注
表1 右心声学造影出现假阳性和假阴性结果的主要原因
表2 右心声学造影分流量的评估
图3 右心声学造影右向左分流的半定量评估。图a为1级,少量分流,左心房可见4个微泡;图b为2级,中量分流,左心房可见19个微泡;图c为3级,大量分流,左心房的微泡数量大于30个
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