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各种原因所致急性肠系膜缺血的CT诊断

CT diagnosis of acute mesenteric ischemia from various causes.

作者信息

Furukawa Akira, Kanasaki Shuzo, Kono Naoaki, Wakamiya Makoto, Tanaka Toyohiko, Takahashi Masashi, Murata Kiyoshi

机构信息

Department of Radiology, Shiga University of Medical Science, Otsu, Shiga, Japan.

出版信息

AJR Am J Roentgenol. 2009 Feb;192(2):408-16. doi: 10.2214/AJR.08.1138.

Abstract

OBJECTIVE

Acute mesenteric ischemia can be caused by various conditions such as arterial occlusion, venous occlusion, strangulating obstruction, and hypoperfusion associated with nonocclusive vascular disease, and the CT findings vary widely depending on the cause and underlying pathophysiology. The aim of this article is to review the CT appearances of acute mesenteric ischemia in various conditions.

CONCLUSION

Recognition of characteristic CT appearances and the variations associated with each cause may help in the accurate interpretation of CT in the diagnosis of mesenteric ischemia.

摘要

目的

急性肠系膜缺血可由多种情况引起,如动脉闭塞、静脉闭塞、绞窄性梗阻以及与非闭塞性血管疾病相关的低灌注,其CT表现因病因和潜在病理生理机制的不同而有很大差异。本文旨在综述各种情况下急性肠系膜缺血的CT表现。

结论

认识特征性CT表现以及与每种病因相关的变化,可能有助于在诊断肠系膜缺血时准确解读CT。

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