CT evaluation of shock viscera: A pictorial review

被引：32

作者：

Lubner M. ^{[1
]}

Demertzis J. ^{[1
]}

Lee J.Y. ^{[2
]}

Appleton C.M. ^{[1
]}

Bhalla S. ^{[1
]}

Menias C.O. ^{[1
]}

机构：

[1] Mallinckrodt Institute of Radiology, St. Louis, MO 63110, P.O. Box 8131

[2] Southern California Permanente Medical Group, Los Angeles, CA

来源：

Emergency Radiology | 2008年 / 15卷 / 1期

关键词：

Abdomen; CT; Shock; Trauma; Viscera;

D O I：

10.1007/s10140-007-0676-z

中图分类号：

学科分类号：

摘要：

The purpose of this article is to review both the pathophysiology and the computed tomography features of the hypoperfusion complex and shock viscera. The main findings include dilated fluid-filled loops of bowel with hyperenhancing mucosa, intensely enhancing kidneys and mesenteric vasculature, and small caliber, dense aorta and collapsed, slit-like inferior vena cava. Variable features include increased enhancement of the adrenals, decreased enhancement of the spleen, and altered enhancement of the pancreas with both hypo- and hyperenhancement described. This complex of findings indicates a tenuous hemodynamic status and has been associated with a poor prognosis. In addition, it is important to discern this collection of findings from direct injury to the viscera to aid in appropriate triage and management of the patients' injuries. © 2007 Am Soc Emergency Radiol.

引用

页码：1 / 11

页数：10

共 42 条

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