如果有静脉血栓栓塞病史,是否应该被视为潜水的禁忌?
Mathilde Vannini1, Jean-François Schved2, David M Smadja1,3,4
1Hematology Department, Assistance Publique - Hôpitaux de Paris-Centre Université de Paris, Paris, France.
Research and practice in thrombosis and haemostasis
|January 15, 2025
概括
对于有静脉血栓栓塞 (VTE) 病史的患者来说,潜水安全性尚不清楚. 目前的证据并不禁忌潜水,但需要更多的研究来定义风险和指导医疗指南.
科学领域:
- 心血管生理学心血管生理学
- 潜水医学是一门潜水医学.
- 血液学 血液学 血液学
背景情况:
- 对于有静脉血栓栓塞 (VTE) 病史的人来说,潜水的安全性尚未得到充分证实.
- 虽然VTE病例与减压事故有关,但在适当地进行潜水后没有报告.
研究的目的:
- 评估VTE病史患者的潜水安全性.
- 在接受抗凝药治疗的患者中,确定与潜水相关的静脉瘤和出血风险.
- 为了解决医疗专业人员和潜水协会缺乏明确指导方针的问题.
主要方法:
- 审查关于VTE和潜水现有文献.
- 对与潜水事故相关的VTE病例报告的分析.
- 检查病理生理学和流行病学证据,将VTE与潜水联系起来.
主要成果:
- 目前的文献没有支持VTE和潜水之间的直接关联.
- 在适当进行的潜水后,没有记录VTE.
- 缺乏关于在服用抗凝药时潜水时发生静脉瘤和出血的证据.
结论:
- 静脉血栓塞栓症 (VTE) 不应被认为是潜水的绝对禁忌.
- 进一步的研究是必要的,以确定与潜水相关的VTE的最终风险.
- 新的研究将有助于为潜水协会制定基于证据的医疗指南.
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