Müller E, Wellauer J, Knovlauch M
Schweiz Med Wochenschr. 1977 Jan 8;107(1):8-12.
86 plain films of the abdomen from 63 patients with acute mesenteric infarction were compared with plain films of 90 patients with acute abdomen of different origin. The airless abdomen, the increased thickness of the gut wall and the hairpin sign proved tbe nonspecific, but more pronounced and more frequent in mesenteric infarction. Gas in the gut wall and in the portal vein system was found only in mesenteric infarction. All 6 patients with gas in the portal veins died. The airless abdomen in a patient with severe abdominal pain is a surprising finding and points to the possibility of mesenteric infarction.
对63例急性肠系膜梗死患者的86张腹部平片与90例不同病因的急腹症患者的腹部平片进行了比较。无气腹、肠壁增厚和发夹征被证明是非特异性的,但在肠系膜梗死中更明显且更常见。肠壁和门静脉系统内的气体仅在肠系膜梗死中发现。所有6例门静脉内有气体的患者均死亡。严重腹痛患者出现无气腹是一个惊人的发现,提示肠系膜梗死的可能性。