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一名存活患者在多层螺旋CT上显示静脉血反流至肾静脉和脊髓静脉。

Venous reflux into renal and spinal veins on MDCT in a surviving patient.

作者信息

Bingi Sumana, Kanugula Sahaja, Keerthipati Swarupa, Bankupalli Kalyani, Gowdu Thimmoji Balakrishna, Vedula Rajanikanth Rao

机构信息

Department of Radiodiagnosis, Great Eastern Medical School and Hospital, Srikakulam, Andhra Pradesh, India.

Department of Medicine, Great Eastern Medical School and Hospital, Srikakulam, Andhra Pradesh, India.

出版信息

Indian J Radiol Imaging. 2019 Apr-Jun;29(2):223-225. doi: 10.4103/ijri.IJRI_353_18.

DOI:10.4103/ijri.IJRI_353_18
PMID:31367097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6639870/
Abstract

In patients of cardiac arrest or near death, opacification of inferior vena cava and renal veins during the arterial phase of intravenous contrast administration at computed tomography (CT) examination is well known. We present a case of extensive reflux into renal and spinal veins in a patient who survived for 1 week following multidetector computed tomography (MDCT) examination without any life supporting devices.

摘要

在心脏骤停或濒死患者中，计算机断层扫描（CT）检查时静脉注射造影剂动脉期下腔静脉和肾静脉出现造影剂充盈缺损是众所周知的。我们报告一例在接受多排螺旋计算机断层扫描（MDCT）检查后未使用任何生命支持设备存活1周的患者，其肾静脉和脊髓静脉出现广泛造影剂反流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/6639870/6187484a00a3/IJRI-29-223-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/6639870/69f89ab745ce/IJRI-29-223-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/6639870/6187484a00a3/IJRI-29-223-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/6639870/69f89ab745ce/IJRI-29-223-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/6639870/6187484a00a3/IJRI-29-223-g002.jpg

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Venous reflux into renal and spinal veins on MDCT in a surviving patient.一名存活患者在多层螺旋CT上显示静脉血反流至肾静脉和脊髓静脉。
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本文引用的文献

1
Computed tomography of acute heart failure: A novel case and literature review.急性心力衰竭的计算机断层扫描：一个新病例及文献综述
Radiol Case Rep. 2015 Dec 3;10(1):1065. doi: 10.2484/rcr.v10i1.1065. eCollection 2015.
2
Case series: CT scan in cardiac arrest and imminent cardiogenic shock.病例系列：心脏骤停和即将发生的心源性休克的CT扫描
Indian J Radiol Imaging. 2010 May;20(2):150-3. doi: 10.4103/0971-3026.63037.
3
Dependent venous contrast pooling and layering: a sign of imminent cardiogenic shock.依赖静脉造影剂聚集和分层：心源性休克即将发生的征象。
AJR Am J Roentgenol. 2006 Apr;186(4):1116-9. doi: 10.2214/AJR.04.1850.
4
Cardiac arrest: abdominal CT imaging features.
Abdom Imaging. 2004 Mar-Apr;29(2):177-9. doi: 10.1007/s00261-003-0120-0.
5
Sudden cardiac arrest during computed tomography examination: clinical findings and "dense abdominal veins" on computed tomography.
J Comput Assist Tomogr. 2003 Jan-Feb;27(1):93-7. doi: 10.1097/00004728-200301000-00017.
6
Dependent pooling: a contrast-enhanced sign of cardiac arrest during CT.依赖型聚集：CT检查中心脏骤停的一种增强造影征象。
AJR Am J Roentgenol. 2002 May;178(5):1095-9. doi: 10.2214/ajr.178.5.1781095.