Beyer D, Horsch S, Bohr M, Schmitz T
Rofo. 1980 Apr;132(4):377-85. doi: 10.1055/s-2008-1056582.
The results after ligation of the superior mesenteric artery in 17 dogs demonstrated, that a "gasless" abdomen and small bowel pseudo-obstruction are unspecific early roentgenographic findings and bowel-wall thickening with narrowed lumen and increased distance to neighbouring loops are a specific early roentgenographic plain-film findings of acute bowel ischemia following mesenteric vascular occlusion. Approximately 10 hours after ligation a combined distension of small and large bowel with dilatation and air-fluid levels is demonstrable as a sign of paralytic ileus with diffuse peritonitis without possibility of differentiation from other causes of this entity. Gas in the bowel wall, in the superior mesenteric vein and in the portal venous system is a late specific plain-film finding resulting from the invasion of gas-forming bacteria into the devitalized bowel wall with advanced gangrene and a sign of infaust prognosis. The results of the plain-film examinations are correlated to angiographic, clinical and laboratory findings, as well as to histology and bacteriology of the ischemic bowel segments.
对17只狗进行肠系膜上动脉结扎后的结果表明,“无气”腹部和小肠假性梗阻是早期非特异性的X线表现,而肠壁增厚、管腔狭窄以及与相邻肠袢距离增加是肠系膜血管闭塞后急性肠缺血早期特异性的X线平片表现。结扎后约10小时,可显示小肠和大肠同时扩张,伴有肠管扩张和气液平面,这是麻痹性肠梗阻合并弥漫性腹膜炎的征象,无法与该病症的其他病因相鉴别。肠壁、肠系膜上静脉和门静脉系统内出现气体是晚期特异性的平片表现,这是由于产气细菌侵入发生坏疽的失活肠壁所致,提示预后不良。平片检查结果与血管造影、临床和实验室检查结果以及缺血肠段的组织学和细菌学检查结果相关。