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冻伤:使用锝-99m焦磷酸盐对组织损伤进行的实验评估。研究进行中。

Frostbite: experimental assessment of tissue damage using Tc-99m pyrophosphate. Work in progress.

作者信息

Salimi Z, Wolverson M K, Herbold D R, Vas W

出版信息

Radiology. 1986 Oct;161(1):227-31. doi: 10.1148/radiology.161.1.3020608.

DOI:10.1148/radiology.161.1.3020608
PMID:3020608
Abstract

We designed an experimental model using a new method of freezing to study the pathogenesis and treatment of frostbite. Frostbite was simulated in a manner that closely resembles that which occurs in a natural environment. We used a radionuclide imaging technique to monitor the evolution and extent of tissue damage relative to temperature, rate of freezing, and controlled rewarming. Characteristic sequential changes were demonstrated on sequential nuclear scans. Nonperfusion, followed by perfusion, and finally again by nonperfusion occurred in all areas in which necrosis developed. The reappearance of nonperfusion corresponded to vascular injury and thrombosis evidenced at pathologic examination. We determined that lack of tissue perfusion corresponded to tissue injury. We believe that our experimental model provides an effective means of evaluating potential therapeutic regimens.

摘要

我们采用一种新的冷冻方法设计了一个实验模型,以研究冻伤的发病机制和治疗方法。冻伤的模拟方式与自然环境中发生的情况极为相似。我们使用放射性核素成像技术来监测相对于温度、冷冻速率和控制性复温的组织损伤的演变及范围。在连续的核扫描中显示出特征性的序列变化。在所有发生坏死的区域,先是出现无灌注,接着是灌注,最后又再次出现无灌注。无灌注的再次出现与病理检查中证实的血管损伤和血栓形成相对应。我们确定组织灌注的缺乏与组织损伤相对应。我们认为我们的实验模型为评估潜在的治疗方案提供了一种有效的手段。

相似文献

1
Frostbite: experimental assessment of tissue damage using Tc-99m pyrophosphate. Work in progress.冻伤:使用锝-99m焦磷酸盐对组织损伤进行的实验评估。研究进行中。
Radiology. 1986 Oct;161(1):227-31. doi: 10.1148/radiology.161.1.3020608.
2
Treatment of frostbite with i.v. streptokinase: an experimental study in rabbits.静脉注射链激酶治疗冻伤:家兔实验研究
AJR Am J Roentgenol. 1987 Oct;149(4):773-6. doi: 10.2214/ajr.149.4.773.
3
Frostbite and bone scanning: the use of 99m-labeled phosphates in demarcating the line of viability in frostbite victims.冻伤与骨扫描:使用99m标记的磷酸盐来划定冻伤患者的存活界限。
Orthopedics. 1986 Sep;9(9):1257-61. doi: 10.3928/0147-7447-19860901-17.
4
[Complex x-ray and radionuclide diagnosis of frostbite].[冻伤的复杂X线及放射性核素诊断]
Voen Med Zh. 1986 Dec(12):21-4.
5
Pyrophosphate scanning in early frostbite injury.早期冻伤损伤中的焦磷酸盐扫描
Am Surg. 1983 Nov;49(11):619-20.
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Assessment of tissue viability after frostbite injury by technetium-99m-sestamibi scintigraphy in an experimental rabbit model.在实验性兔模型中,通过锝-99m-甲氧基异丁基异腈闪烁扫描术评估冻伤损伤后的组织活力。
Eur J Nucl Med. 2000 Jan;27(1):41-5. doi: 10.1007/pl00006660.
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Assessment of tissue viability in frostbite by 99mTc pertechnetate scintigraphy.用99m锝高锝酸盐闪烁扫描术评估冻伤中的组织活力。
AJR Am J Roentgenol. 1984 Feb;142(2):415-9. doi: 10.2214/ajr.142.2.415.
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A study of irradiated bone. Part II. changes in Tc-99m pyrophosphate bone imaging.一项关于辐照骨的研究。第二部分。锝-99m焦磷酸盐骨显像的变化。
J Nucl Med. 1980 Jan;21(1):22-30.
9
Imaging of frostbite injury by technetium-99m-sestamibi scintigraphy: a case report.锝-99m-甲氧基异丁基异腈闪烁扫描术对冻伤的影像学表现:一例报告
Foot Ankle Int. 2002 Jan;23(1):56-9. doi: 10.1177/107110070202300111.
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Joint scintigraphy using technetium-99m pyrophosphate in experimental hemarthrosis.实验性关节积血中使用锝-99m焦磷酸盐的关节闪烁扫描术。
J Nucl Med. 1986 Feb;27(2):246-55.

引用本文的文献

1
Frostbite: Spectrum of Imaging Findings and Guidelines for Management.冻伤:影像学表现谱及处理指南
Radiographics. 2016 Nov-Dec;36(7):2154-2169. doi: 10.1148/rg.2016160045. Epub 2016 Aug 5.
2
Intense bone imaging agent uptake in the soft tissues of the lower legs and feet relating to ischemia and cold exposure.小腿和足部软组织中与缺血和寒冷暴露相关的强烈骨显像剂摄取。
Eur J Nucl Med. 1988;14(7-8):419-21. doi: 10.1007/BF00254397.