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下腔静脉造影剂水平:心血管功能障碍的一个迹象

'IVC contrast level: a sign of cardiovascular dysfunction'.

作者信息

Verma Mansi, Bhatia Vikas, Singh Lokesh, Debi Uma, Sandhu Manavjit

机构信息

Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Oxf Med Case Reports. 2019 Jul 1;2019(7). doi: 10.1093/omcr/omz068.

DOI:10.1093/omcr/omz068
PMID:31428772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6660060/
Abstract

Contrast blood level in intrahepatic inferior vena cava (IVC) on arterial contrast-enhanced CT images is referred to as IVC layering or IVC contrast level sign. This sign is important to recognize as it has dismal prognosis and requires immediate attention. The causes described in literature include cardiogenic shock, cardiac arrest and cardiac tamponade. We hereby present three cases depicting IVC contrast level sign.

摘要

动脉期增强CT图像上肝内下腔静脉(IVC)内的对比剂血池水平被称为IVC分层或IVC对比剂水平征。认识到这个征象很重要,因为其预后不佳,需要立即关注。文献中描述的病因包括心源性休克、心脏骤停和心脏压塞。我们在此呈现三例表现出IVC对比剂水平征的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4482/6660060/d0c93441dc1f/omz068f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4482/6660060/0373202248d7/omz068f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4482/6660060/0f001561d354/omz068f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4482/6660060/7eb791f5351d/omz068f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4482/6660060/d0c93441dc1f/omz068f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4482/6660060/0373202248d7/omz068f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4482/6660060/0f001561d354/omz068f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4482/6660060/7eb791f5351d/omz068f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4482/6660060/d0c93441dc1f/omz068f4.jpg

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本文引用的文献

1
Contrast Pooling and Layering in a Patient with Left Main Coronary Artery Occlusion and Cardiogenic Shock.左主干冠状动脉闭塞并心源性休克患者的对比剂聚集与分层
Acta Cardiol Sin. 2015 Sep;31(5):461-3. doi: 10.6515/acs20150511a.
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
Contrast-fluid level in the inferior vena cava (IVC niveau sign) in patients with acute type A aortic dissection: computed tomography findings during acute cardiac tamponade.
对比剂积聚(C.A.P.)征象与即将发生的心脏骤停:一项回顾性研究。
BMC Emerg Med. 2022 May 6;22(1):77. doi: 10.1186/s12873-022-00634-4.
急性 A 型主动脉夹层患者下腔静脉内对比剂水平(IVC 水平征):急性心脏压塞时的 CT 表现。
Jpn J Radiol. 2010 May;28(4):278-82. doi: 10.1007/s11604-010-0422-4. Epub 2010 May 29.
4
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.
5
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.