应重视培养急腹症诊断中急性肠缺血的病理生理与 CT 影像相关联的系统性思维模式_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

朱明杰 ,  王自强

四川大学华西医院胃肠外科中心（成都 610041）;

Corresponding author：

王自强, Email: wangziqiang@163.com

Keywords：

DOI：

10.7507/1007-9424.202010007

Video：

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Citation： 朱明杰, 王自强. 应重视培养急腹症诊断中急性肠缺血的病理生理与 CT 影像相关联的系统性思维模式. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(12): 1473-1479. doi: 10.7507/1007-9424.202010007 Copy

1.	Bala M, Kashuk J, Moore EE, et al. Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery. World J Emerg Surg, 2017, 12: 38.
2.	Chou CK, Mak CW, Tzeng WS, et al. CT of small bowel ischemia. Abdom Imaging, 2004, 29(1): 18-22.
3.	Levy AD. Mesenteric ischemia. Radiol Clin North Am, 2007, 45(3): 593-599.
4.	Barmase M, Kang M, Wig J, et al. Role of multidetector CT angiography in the evaluation of suspected mesenteric ischemia. Eur J Radiol, 2011, 80(3): e582-e587.
5.	Horton KM, Fishman EK. Multidetector CT angiography in the diagnosis of mesenteric ischemia. Radiol Clin North Am, 2007, 45(2): 275-288.
6.	Dhatt HS, Behr SC, Miracle A, et al. Radiological evaluation of bowel ischemia. Radiol Clin North Am, 2015, 53(6): 1241-1254.
7.	Sheedy SP, Earnest F 4th, Fletcher JG, et al. CT of small-bowel ischemia associated with obstruction in emergency department patients: diagnostic performance evaluation. Radiology, 2006, 241(3): 729-736.
8.	Bickell NA, Federman AD, Aufses AH. Influence of time on risk of bowel resection in complete small bowel obstruction. J Am Coll Surg, 2005, 201(6): 847-854.
9.	Fevang BT, Jensen D, Svanes K, et al. Early operation or conservative management of patients with small bowel obstruction? Eur J Surg, 2002, 168(8-9): 475-81.
10.	步宏, 李一雷. 病理学. 北京: 人民卫生出版社, 2018: 65-80.
11.	Macari M, Balthazar EJ. CT of bowel wall thickening: significance and pitfalls of interpretation. AJR Am J Roentgenol, 2001, 176(5): 1105-1116.
12.	Kohga A, Kawabe A, Yajima K, et al. CT value of the intestine is useful predictor for differentiate irreversible ischaemic changes in strangulated ileus. Abdom Radiol (NY), 2017, 42(12): 2816-2821.
13.	Gupta N, Schwenk A, Borgstein R. Acute mesenteric ischaemia on unenhanced computer-tomography. J Radiol Case Rep, 2010, 4(9): 24-30.
14.	Thornton E, Mendiratta-Lala M, Siewert B, et al. Patterns of fat stranding. AJR Am J Roentgenol, 2011, 197(1): W1-W14.
15.	Furukawa A, Kanasaki S, Kono N, et al. CT diagnosis of acute mesenteric ischemia from various causes. AJR Am J Roentgenol, 2009, 192(2): 408-416.
16.	柳澄, 王兴武. 医学影像诊断学. 北京: 人民军医出版社, 2006: 3-5.
17.	Tilsed JV, Casamassima A, Kurihara H, et al. ESTES guidelines: acute mesenteric ischaemia. Eur J Trauma Emerg Surg, 2016, 42(2): 253-270.
18.	Wiesner W, Khurana B, Ji H, et al. CT of acute bowel ischemia. Radiology, 2003, 226(3): 635-650.
19.	Gore RM, Balthazar EJ, Ghahremani GG, et al. CT features of ulcerative colitis and Crohn’s disease. AJR Am J Roentgenol, 1996, 167(1): 3-15.
20.	Herlinger H, Furth EE, Rubesin SE. Fibrofatty proliferation of the mesentery in Crohn disease. Abdom Imaging, 1998, 23(4): 446-448.
21.	Kirchhof K, Welzel T, Mecke C, et al. Differentiation of white, mixed, and red thrombi: value of CT in estimation of the prognosis of thrombolysis phantom study. Radiology, 2003, 228(1): 126-130.
22.	Gotway MB, Webb WR. Acute pulmonary embolism: visualization of high attenuation clot in the pulmonary artery on noncontrast helical chest CT. Emergency Radiology, 2000, 7: 117-119.
23.	Morita S, Ueno E, Masukawa A, et al. Hyperattenuating signs at unenhanced CT indicating acute vascular disease. Radiographics, 2010, 30(1): 111-125.
24.	左育宏, 焦俊, 王波, 等. CT对心室及大血管内流体组织密度的观察. 中国医学创新, 2015, 12(1): 43-46.
25.	Goldmakher GV, Camargo EC, Furie KL, et al. Hyperdense basilar artery sign on unenhanced CT predicts thrombus and outcome in acute posterior circulation stroke. Stroke, 2009, 40(1): 134-139.
26.	Zielinski MD, Eiken PW, Bannon MP, et al. Small bowel obstruction-who needs an operation? A multivariate prediction model. World J Surg, 2010, 34(5): 910-919.
27.	Rondenet C, Millet I, Corno L, et al. Increased unenhanced bowel-wall attenuation: a specific sign of bowel necrosis in closed-loop small-bowel obstruction. Eur Radiol, 2018, 28(10): 4225-4233.
28.	Millet I, Boutot D, Faget C, et al. Assessment of strangulation in adhesive small bowel obstruction on the basis of combined CT findings: implications for clinical care. Radiology, 2017, 285(3): 798-808.
29.	Chuong AM, Corno L, Beaussier H, et al. Assessment of bowel wall enhancement for the diagnosis of intestinal ischemia in patients with small bowel obstruction: value of adding unenhanced CT to contrast-enhanced CT. Radiology, 2016, 280(1): 98-107.
30.	Berland T, Oldenburg WA. Acute mesenteric ischemia. Curr Gastroenterol Rep, 2008, 10(3): 341-346.
31.	Acosta S, Björck M. Modern treatment of acute mesenteric ischaemia. Br J Surg, 2014, 101(1): e100-e108.
32.	Bobadilla JL. Mesenteric ischemia. Surg Clin North Am, 2013, 93(4): 925-940.
33.	Dewitte A, Biais M, Coquin J, et al. Diagnosis and management of acute mesenteric ischemia. Ann Fr Anesth Reanim, 2011, 30(5): 410-420.
34.	Taourel P. CT of the acute abdomen. Springer, 2011: 277-291.
35.	Blachar A, Barnes S, Adam SZ, et al. Radiologists’ performance in the diagnosis of acute intestinal ischemia, using MDCT and specific CT findings, using a variety of CT protocols. Emerg Radiol, 2011, 18(5): 385-394.
36.	Calame P, Malakhia A, Turco C, et al. Transmural bowel necrosis from acute mesenteric ischemia and strangulated small-bowel obstruction: distinctive CT features. AJR Am J Roentgenol, 2020, 214(1): 90-95.
37.	Tatco VR, Piedad HH. The validity of hyperdense lumen sign in non-contrast chest CT scans in the detection of pulmonary thromboembolism. Int J Cardiovasc Imaging, 2011, 27(3): 433-440.
38.	Huerta C, Rivero E, Montoro MA, et al. Risk factors for intestinal ischaemia among patients registered in a UK primary care database: a nested case-control study. Aliment Pharmacol Ther, 2011, 33(8): 969-978.
39.	Acosta S. Epidemiology of mesenteric vascular disease: clinical implications. Semin Vasc Surg, 2010, 23(1): 4-8.

1. Bala M, Kashuk J, Moore EE, et al. Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery. World J Emerg Surg, 2017, 12: 38.
2. Chou CK, Mak CW, Tzeng WS, et al. CT of small bowel ischemia. Abdom Imaging, 2004, 29(1): 18-22.
3. Levy AD. Mesenteric ischemia. Radiol Clin North Am, 2007, 45(3): 593-599.
4. Barmase M, Kang M, Wig J, et al. Role of multidetector CT angiography in the evaluation of suspected mesenteric ischemia. Eur J Radiol, 2011, 80(3): e582-e587.
5. Horton KM, Fishman EK. Multidetector CT angiography in the diagnosis of mesenteric ischemia. Radiol Clin North Am, 2007, 45(2): 275-288.
6. Dhatt HS, Behr SC, Miracle A, et al. Radiological evaluation of bowel ischemia. Radiol Clin North Am, 2015, 53(6): 1241-1254.
7. Sheedy SP, Earnest F 4th, Fletcher JG, et al. CT of small-bowel ischemia associated with obstruction in emergency department patients: diagnostic performance evaluation. Radiology, 2006, 241(3): 729-736.
8. Bickell NA, Federman AD, Aufses AH. Influence of time on risk of bowel resection in complete small bowel obstruction. J Am Coll Surg, 2005, 201(6): 847-854.
9. Fevang BT, Jensen D, Svanes K, et al. Early operation or conservative management of patients with small bowel obstruction? Eur J Surg, 2002, 168(8-9): 475-81.
10. 步宏, 李一雷. 病理学. 北京: 人民卫生出版社, 2018: 65-80.
11. Macari M, Balthazar EJ. CT of bowel wall thickening: significance and pitfalls of interpretation. AJR Am J Roentgenol, 2001, 176(5): 1105-1116.
12. Kohga A, Kawabe A, Yajima K, et al. CT value of the intestine is useful predictor for differentiate irreversible ischaemic changes in strangulated ileus. Abdom Radiol (NY), 2017, 42(12): 2816-2821.
13. Gupta N, Schwenk A, Borgstein R. Acute mesenteric ischaemia on unenhanced computer-tomography. J Radiol Case Rep, 2010, 4(9): 24-30.
14. Thornton E, Mendiratta-Lala M, Siewert B, et al. Patterns of fat stranding. AJR Am J Roentgenol, 2011, 197(1): W1-W14.
15. Furukawa A, Kanasaki S, Kono N, et al. CT diagnosis of acute mesenteric ischemia from various causes. AJR Am J Roentgenol, 2009, 192(2): 408-416.
16. 柳澄, 王兴武. 医学影像诊断学. 北京: 人民军医出版社, 2006: 3-5.
17. Tilsed JV, Casamassima A, Kurihara H, et al. ESTES guidelines: acute mesenteric ischaemia. Eur J Trauma Emerg Surg, 2016, 42(2): 253-270.
18. Wiesner W, Khurana B, Ji H, et al. CT of acute bowel ischemia. Radiology, 2003, 226(3): 635-650.
19. Gore RM, Balthazar EJ, Ghahremani GG, et al. CT features of ulcerative colitis and Crohn’s disease. AJR Am J Roentgenol, 1996, 167(1): 3-15.
20. Herlinger H, Furth EE, Rubesin SE. Fibrofatty proliferation of the mesentery in Crohn disease. Abdom Imaging, 1998, 23(4): 446-448.
21. Kirchhof K, Welzel T, Mecke C, et al. Differentiation of white, mixed, and red thrombi: value of CT in estimation of the prognosis of thrombolysis phantom study. Radiology, 2003, 228(1): 126-130.
22. Gotway MB, Webb WR. Acute pulmonary embolism: visualization of high attenuation clot in the pulmonary artery on noncontrast helical chest CT. Emergency Radiology, 2000, 7: 117-119.
23. Morita S, Ueno E, Masukawa A, et al. Hyperattenuating signs at unenhanced CT indicating acute vascular disease. Radiographics, 2010, 30(1): 111-125.
24. 左育宏, 焦俊, 王波, 等. CT对心室及大血管内流体组织密度的观察. 中国医学创新, 2015, 12(1): 43-46.
25. Goldmakher GV, Camargo EC, Furie KL, et al. Hyperdense basilar artery sign on unenhanced CT predicts thrombus and outcome in acute posterior circulation stroke. Stroke, 2009, 40(1): 134-139.
26. Zielinski MD, Eiken PW, Bannon MP, et al. Small bowel obstruction-who needs an operation? A multivariate prediction model. World J Surg, 2010, 34(5): 910-919.
27. Rondenet C, Millet I, Corno L, et al. Increased unenhanced bowel-wall attenuation: a specific sign of bowel necrosis in closed-loop small-bowel obstruction. Eur Radiol, 2018, 28(10): 4225-4233.
28. Millet I, Boutot D, Faget C, et al. Assessment of strangulation in adhesive small bowel obstruction on the basis of combined CT findings: implications for clinical care. Radiology, 2017, 285(3): 798-808.
29. Chuong AM, Corno L, Beaussier H, et al. Assessment of bowel wall enhancement for the diagnosis of intestinal ischemia in patients with small bowel obstruction: value of adding unenhanced CT to contrast-enhanced CT. Radiology, 2016, 280(1): 98-107.
30. Berland T, Oldenburg WA. Acute mesenteric ischemia. Curr Gastroenterol Rep, 2008, 10(3): 341-346.
31. Acosta S, Björck M. Modern treatment of acute mesenteric ischaemia. Br J Surg, 2014, 101(1): e100-e108.
32. Bobadilla JL. Mesenteric ischemia. Surg Clin North Am, 2013, 93(4): 925-940.
33. Dewitte A, Biais M, Coquin J, et al. Diagnosis and management of acute mesenteric ischemia. Ann Fr Anesth Reanim, 2011, 30(5): 410-420.
34. Taourel P. CT of the acute abdomen. Springer, 2011: 277-291.
35. Blachar A, Barnes S, Adam SZ, et al. Radiologists’ performance in the diagnosis of acute intestinal ischemia, using MDCT and specific CT findings, using a variety of CT protocols. Emerg Radiol, 2011, 18(5): 385-394.
36. Calame P, Malakhia A, Turco C, et al. Transmural bowel necrosis from acute mesenteric ischemia and strangulated small-bowel obstruction: distinctive CT features. AJR Am J Roentgenol, 2020, 214(1): 90-95.
37. Tatco VR, Piedad HH. The validity of hyperdense lumen sign in non-contrast chest CT scans in the detection of pulmonary thromboembolism. Int J Cardiovasc Imaging, 2011, 27(3): 433-440.
38. Huerta C, Rivero E, Montoro MA, et al. Risk factors for intestinal ischaemia among patients registered in a UK primary care database: a nested case-control study. Aliment Pharmacol Ther, 2011, 33(8): 969-978.
39. Acosta S. Epidemiology of mesenteric vascular disease: clinical implications. Semin Vasc Surg, 2010, 23(1): 4-8.

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应重视培养急腹症诊断中急性肠缺血的病理生理与 CT 影像相关联的系统性思维模式

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