Páral J, Subrt Z, Lochman P, Ferko A, Dusek T, Slaninka I, Cecka F, Louda M, Romzová M, Jon B, Kaska M
Katedra chirurgie, Fakulta vojenského zdravotnictví Hradec Králové, Univerzita obrany Brno.
Rozhl Chir. 2009 Oct;88(10):590-5.
Acute bowel ischemia continues to have a high mortality rate. The main factor related to this poor outcome is considered to be the delay in diagnosis. The ability to detect ischemia early and to assess the extent of bowel involvement, are the most important aspects of successful treatment. The combination of ultraviolet (UV) light and fluorescein dye would be considered a simple, reliable and technically easy procedure for diagnosis of intestinal ischemia. The method can be used both for laparotomy when the source of UV light is a Wood's lamp as well for laparoscopy when the optical filters are placed to the light source of laparoscopic set to produce UV light. Present clinical experience shows that the method is precise, objective and accessible and that it gives a greater amount of independence to the surgeon allowing him to make the diagnosis of intestinal ischemia without having to rely on the assistance of other specialists.
急性肠缺血的死亡率仍然很高。与这种不良预后相关的主要因素被认为是诊断延迟。早期检测缺血以及评估肠受累程度的能力是成功治疗的最重要方面。紫外线（UV）光和荧光素染料的组合被认为是一种用于诊断肠缺血的简单、可靠且技术上易于操作的方法。该方法既可以在剖腹手术中使用，此时紫外线光源为伍德灯，也可以在腹腔镜检查中使用，此时将光学滤光片放置在腹腔镜设备的光源上以产生紫外线。目前的临床经验表明，该方法精确、客观且易于操作，并且使外科医生有更大的自主性，使其无需依赖其他专家的协助就能诊断肠缺血。
