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中华医学超声杂志(电子版) ›› 2023, Vol. 20 ›› Issue (12) : 1317 -1319. doi: 10.3877/cma.j.issn.1672-6448.2023.12.018

综述

右心声学造影临床应用新进展
赵若寒1, 张思忆1, 吕清1,()   
  1. 1. 430032 武汉,华中科技大学同济医学院附属协和医院超声医学科 湖北省影像医学临床医学研究中心 分子影像湖北省重点实验室
  • 收稿日期:2022-12-12 出版日期:2023-12-01
  • 通信作者: 吕清

New progress in clinical application of right echocardiography

Ruohan Zhao, Siyi Zhang, Qing Lyu()   

  • Received:2022-12-12 Published:2023-12-01
  • Corresponding author: Qing Lyu
引用本文:

赵若寒, 张思忆, 吕清. 右心声学造影临床应用新进展[J]. 中华医学超声杂志(电子版), 2023, 20(12): 1317-1319.

Ruohan Zhao, Siyi Zhang, Qing Lyu. New progress in clinical application of right echocardiography[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(12): 1317-1319.

右心声学造影(agitated saline contrast echocardiography,ASCE)发展至今已有60年历史,其利用振荡的无菌生理盐水混合自体血液,或生理盐水+50%葡萄糖溶液振荡配制声学造影剂。微气泡的平均直径为16~38 μm,肺毛细血管的平均直径为7~8 μm,大于肺毛细血管直径的微气泡不能通过肺毛细血管进入左心系统,故正常情况下只能使右心显影。ASCE被广泛用于诊断或排除心内分流如卵圆孔未闭(patent foramen ovale,PFO)和肺内右向左分流如肺动静脉瘘等相关疾病。近年来,随着重症超声和康复医学等学科的发展,ASCE也逐渐拓展了应用范围,本文就ASCE在运动时肺血管储备情况评估、静脉-静脉模式体外膜肺再循环、各类插管定位等方面的临床应用新进展进行综述。

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