病例报告：通过活体显微镜检查在一名感染性休克患者中早期检测肠系膜缺血。
Case report: Early detection of mesenteric ischemia by intravital microscopy in a patient with septic shock.
作者信息
Praxenthaler Janina, Kirchner Carmen, Schwier Elke, Altmann Simon, Wittmer Axel, Henzler Dietrich, Köhler Thomas
机构信息
Department of Anesthesiology, Surgical Intensive Care, Emergency and Pain Medicine, Klinikum Herford, Ruhr University Bochum, Herford, Germany.
Department of Anesthesiology, Intensive Care and Pain Medicine, Kliniken Südostbayern, Klinikum Traunstein, Traunstein, Germany.
出版信息
Front Med (Lausanne). 2022 Aug 26;9:985977. doi: 10.3389/fmed.2022.985977. eCollection 2022.
Gut ischemia is a frequent but underdiagnosed complication, especially in critically ill intensive care patients, and represents a special diagnostic challenge that can only be solved in an interdisciplinary manner. We report a case of a 54-year-old woman with acute mesenteric ischemia (AMI) as a cause of septic shock diagnosed by intravital microscopy (IVM) 2 days before visible necrotic changes in a multimodality approach. We show that intravital microscopy can be a serious alternative for the early diagnosis of mesenteric ischemia in the hands of the skilled. We use this case to discuss the value and clinical perspective of IVM in the intensive care setting.
肠缺血是一种常见但诊断不足的并发症，尤其是在重症监护病房的危重症患者中，它是一个特殊的诊断挑战，只能通过多学科方式解决。我们报告一例54岁女性，因急性肠系膜缺血（AMI）导致感染性休克，在多模态方法显示可见坏死变化前两天，通过活体显微镜检查（IVM）确诊。我们表明，在技术熟练的人员手中，活体显微镜检查可以成为肠系膜缺血早期诊断的重要替代方法。我们利用该病例讨论IVM在重症监护环境中的价值和临床前景。
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