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计算机断层扫描识别钝性腹部创伤患者的肝门静脉气体:一例报告

Hepatic portal venous gas identified by computed tomography in a patient with blunt abdominal trauma: a case report.

作者信息

Friedman D, Flancbaum L, Ritter E, Trooskin S Z

机构信息

Department of Surgery, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick.

出版信息

J Trauma. 1991 Feb;31(2):290-2.

PMID:1994097
Abstract

An abdominal computed tomographic (CT) scan in a middle-aged man injured in a high-speed motor vehicle accident demonstrated the presence of portal venous gas. Findings on initial peritoneal lavage were entirely negative. Exploratory celiotomy performed because of increasing abdominal pain and leukocytosis revealed gangrene of the cecum. This report illustrates the importance of the finding of portal venous gas on CT scan in patients with blunt abdominal trauma.

摘要

一名在高速机动车事故中受伤的中年男子的腹部计算机断层扫描(CT)显示存在门静脉气体。初次腹腔灌洗结果完全为阴性。由于腹痛加剧和白细胞增多而进行的剖腹探查术显示盲肠坏疽。本报告说明了腹部钝性创伤患者CT扫描中门静脉气体这一发现的重要性。

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