Robberecht E A, Afschrift M, De Bel C E, Van Haesebrouck P J, Van Bever H P, De Wit M, Leroy J G
Children's Hospital C. Hooft, Ghent, Belgium.
Eur J Pediatr. 1988 Feb;147(2):192-4. doi: 10.1007/BF00442221.
Portal vein gas embolism was demonstrated by ultrasound in a preterm infant with necrotizing enterocolitis. This sign could not be detected radiographically. It is speculated that portal venous gas occurs more frequently than hitherto inferred from radiological studies. This observation points to the value of ultrasonography in providing early objective evidence in support of the diagnosis of NEC. The favourable outcome for the patient proves that portal venous gas embolism is not necessarily associated with a fulminant course of enterocolitis.
超声检查证实一名患有坏死性小肠结肠炎的早产儿发生了门静脉气体栓塞。该征象在放射检查中未能检测到。据推测,门静脉气体的发生比迄今从放射学研究推断的更为频繁。这一观察结果表明超声检查在为坏死性小肠结肠炎的诊断提供早期客观证据方面的价值。患者的良好预后证明门静脉气体栓塞不一定与暴发性小肠结肠炎病程相关。