Antes G
Abteilung für Radiologie, Klinikum Kempten.
Zentralbl Chir. 2005 Jun;130(3):213-7. doi: 10.1055/s-2005-836554.
There are many causes for acute or chronic progressive abdominal pain. Although only about one percent of these patients suffer from acute mesenteric ischemia (MI), an efficient diagnostic work-up is mandatory to reduce the high mortality. An overview about the possibilities of conventional and modern imaging modalities is given. Plain films and ultrasonography are still important in the basic work-up, however, its sensitivity is limited. Angiography has a high sensitivity and specitivity. However, angiography is not always available. Modern spiral-CT is widely available and its sensitivity is already similar to angiography. An other advantage of CT is the possibility to detect the most other frequent causes of abdominal pain. Therefore CT should be performed as fast as possible.
急性或慢性进行性腹痛有多种病因。尽管这些患者中只有约1%患有急性肠系膜缺血（MI），但为降低高死亡率，进行有效的诊断检查是必不可少的。本文给出了传统和现代成像方式的可能性概述。平片和超声检查在基础检查中仍然很重要，然而，其敏感性有限。血管造影具有高敏感性和特异性。然而，并非总能进行血管造影。现代螺旋CT广泛可用，其敏感性已与血管造影相似。CT的另一个优点是有可能检测出腹痛的其他最常见病因。因此，应尽快进行CT检查。
