慢性危重症患者急性肠系膜血栓形成的放射诊断难点

O. A. Staroseltseva, N. Nudnov, M. Radutnaya, A. Kirchin, Е. А. Bondar’, L. V. Bessonova, E. L. Altukhov, A. Yakovlev, A. F. Shaybak
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引用次数: 1

摘要

急性肠系膜缺血是肠道部分血液供应的急性中断,如果不及时治疗,会导致肠壁坏死和患者死亡。计算机断层扫描(CT)在发现肠系膜缺血和做出初步诊断方面起着主导作用,特别是在慢性危重疾病患者,当生产接触是不可能的。最终诊断是在手术或死后检查中确定的。及时诊断和手术治疗是降低本病高死亡率的基本手段。本文介绍了CT在肠系膜缺血及血栓形成的影像学及初步诊断中的可能性。
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Difficulties in the Radiation Diagnosis of Acute Mesenteric Thrombosis in Patients with Chronic Critical Illness
Acute mesenteric ischemia is an acute disruption of blood supply to part of the intestine, which, if untreated, leads to bowel wall necrosis and a patient’s death. Computed tomography (CT) plays a leading role in detecting mesenteric ischemia and in making the initial diagnosis, especially in patients with chronic critical illness, when productive contact is impossible. The final diagnosis is established during surgery or postmortem examination. Timely diagnosis and surgical treatment are a basic tool to reduce high mortality rates from this disease. The article presents the possibilities of CT in imaging and making the primary diagnosis of mesenteric ischemia and mesenteric thrombosis.
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