Gore Richard M, Thakrar Kiran H, Mehta Uday K, Berlin Jonathan, Yaghmai Vahid, Newmark Geraldine M
Department of Radiology, Evanston Northwestern Healthcare, Northwestern University Medical School, Evanston, Illinois 60201, USA.
Clin Gastroenterol Hepatol. 2008 Aug;6(8):849-58. doi: 10.1016/j.cgh.2008.05.007.
Intestinal ischemia and infarction are a heterogeneous group of diseases that have as their unifying theme hypoxia of the small bowel and/or colon. The incidence of bowel ischemia is increasing for a number of reasons: the aging of the population, the ability of intensive care units to salvage critically ill patients, and heightened clinical awareness of these disorders. Improvements in diagnostic imaging techniques have contributed greatly to the earlier diagnosis of intestinal ischemia, which can have a positive influence on patient outcomes. In this review, advances in multidetector computerized tomography, magnetic resonance, and ultrasound in the detection of intestinal ischemia are highlighted and placed in the context of expeditious patient management.
肠缺血和梗死是一组异质性疾病，其共同主题是小肠和/或结肠缺氧。由于多种原因，肠缺血的发病率正在上升：人口老龄化、重症监护病房挽救重症患者的能力以及对这些疾病临床认识的提高。诊断成像技术的进步极大地促进了肠缺血的早期诊断，这对患者的治疗结果会产生积极影响。在这篇综述中，重点介绍了多排计算机断层扫描、磁共振成像和超声在肠缺血检测方面的进展，并将其置于快速患者管理的背景下进行讨论。
