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克罗恩病患者的急性腹痛:应进行哪些紧急影像学检查?

Acute abdominal pain in patients with Crohn's disease: what urgent imaging tests should be done?

作者信息

Marazuela García P, López-Frías López-Jurado A, Vicente Bártulos A

机构信息

Servicio de Radiología, Hospital Universitario Ramón y Cajal, Madrid, España.

Servicio de Radiología, Hospital Universitario Ramón y Cajal, Madrid, España.

出版信息

Radiologia (Engl Ed). 2019 Jul-Aug;61(4):333-336. doi: 10.1016/j.rx.2018.12.003. Epub 2019 Feb 14.

DOI:10.1016/j.rx.2018.12.003
PMID:30772003
Abstract

Crohn's disease is an autoimmune disease that predominantly affects the gastrointestinal tract. Crohn's disease is diagnosed at a young age and runs a chronic course with acute flare-ups. When patients with Crohn's disease present with flare-ups at the emergency department, they are usually managed in a way similar to patients with acute abdomen; there is no consensus about the most appropriate imaging work-up for patients with flare-ups of Crohn's disease. Thus, we decided to review the literature about the imaging tests indicated (whether related to their diagnostic performance or to lower exposure to ionizing radiation) for acute flare-ups in patients with Crohn's disease.

摘要

克罗恩病是一种主要影响胃肠道的自身免疫性疾病。克罗恩病多在年轻时被诊断出来,病程呈慢性,伴有急性发作。当克罗恩病患者在急诊科出现急性发作时,其治疗方式通常与急腹症患者相似;对于克罗恩病急性发作患者,目前尚无关于最合适影像学检查方法的共识。因此,我们决定回顾有关针对克罗恩病患者急性发作所推荐的影像学检查(无论是基于其诊断性能还是较低的电离辐射暴露)的文献。

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